Apply

Thank you for your interest in becoming a Reading Mentor! Our application process is simple—here’s how it works:
  1. Complete the application and code of conduct on this page. Our Volunteer Coordinator will forward this information to the appropriate school district.
  2. Watch for an email from our Volunteer Coordinator with information on completing the required background check.
  3. Complete your background check, and email our Volunteer Coordinator.
All fields are required unless otherwise noted.

Basic Information

Full name
Date of birth
Address
Contact details
Emergency contact
Employer details (if applicable)

Volunteer preferences

Frequency
Volunteer notes (optional)

Shared volunteer information

Shared volunteers: If you and a friend or colleague are sharing a student for the school year, please provide their name and contact information below. Both volunteers need to complete this online application and background screening.

Background Questions

Have you ever been convicted of a crime other than a traffic violation?
Any felony or misdemeanor?
Any DUI/DWI?
Is your driver’s license suspended?
Any felony, misdemeanor or municipal charges pending against you?
Have there ever been allegations, complaints or reports regarding your involvement in child abuse or neglect?
If you answered yes to any of the question above, please provide the date, description, and explanation of each incident.

References

Please list two references of people who know you well, other than relatives, preferably people you have worked for in either a paid or volunteer capacity.
Reference 1
Reference 2

Applicant authorization and agreement

I declare that all the statements I have made on this application are true, correct, and complete to the best of my knowledge. I understand that any omissions or misstatements made by me on this application may be cause for my application to be declined or volunteer placement to be terminated. I understand that all information, including driver’s license, criminal background, and child abuse/neglect records and sex offender registry, will be verified and hereby consent to such verification. You have my permission to contact my employer. I understand that the school district, at its sole and complete discretion, may accept or decline this application without providing me any reasons for the decision. I agree to receive periodic communications from Lead to Read KC.
Applicant Signature
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