America Reads Partnership Interest Form - Community Partners

If you are interested in hearing more about our program or to share your interest in becoming one of our community partners, please fill in the required information and we will reach out to you shortly.

For any special or direct questions please contact:
Rob Adams - [email protected] - (480) 884-2738

For additional information about the America Reads Program please visit our website: AmericaReads.asu.edu

Contact Information

Title or Organization Role

First

Last

Work Email Address

Work Phone

Community Organization Information

Name of Community Organization

Location of Community Organization

Address

City/Town

State/Province

ZIP/Postal Code

Country

How would you classify your Community Organization?

School

Non Profit Organization

For Profit Organization

Government Entity

Other

What age group/grade level demographic does your organization serve ?

Our goal with these partnerships is to bring institutionalization to our program. Would you able to provide a financial contribution to support this overall partnership?

Please elaborate.
(i.e. administrative cost $, cost share for student workers, student transportation, fingerprint/background checks, training, etc.)

Do you currently have a Student Placement Agreement with Arizona State University?

Yes

No, however, we are an ASU unit/affiliate

Unsure