The Iris Network

Maine Audio Information and Reading Service

12 Acme Road, Suite 104

Brewer, Maine 04412

207-989-0058/ E-mail: lmyers@gwi.net

 

VOLUNTEER APPLICATION FORM

 

Application Date ______________________________

 

Name _______________________________________________

 

Address  ____________________________________________

 

City ______________________________________________________  Zip _______________

 

Phone: (Home- best time) ______________________      (Work- best time)   _____________________

 

E-mail: _______________________________ Emergency telephone number _____________________

 

Occupation:

 

Special qualifications: (Indicate education, experience, interests)

 

 

 

MAINE AIRS ACTIVITIES YOU WISH TO BE INVOLVED IN

 

______ Reading on-air                   ______ Telephone Survey of listeners                     ______  Special Events, Committees        ______Writing, editing brochures, psa's, etc.                 ______ Public speaking about Maine AIRS     

______ Other: Specify:

 

 

Times You Are Available For Maine AIRS Activities

Reading opportunities are scheduled between 8am –3:30 pm, Monday- Friday at The Iris Network, 189 Park Avenue, Portland, Maine 04102

 

MONDAY      TUESDAY      WEDNESDAY       THURSDAY        FRIDAY

 

Are you willing to be a substitute reader (i.e. come in on an as-needed basis) ? _____________

How did you hear about Maine AIRS?

Text Box: OFFICE USE ONLY                 Date of audition/interview: Comments:  

 

 

 

5/31/07