New Trainer Signup Form

Ready To Read - Trainer Registration

This registration form is to be completed by library staff who have taken Basic, Story Time or Fun Facts early literacy training. We will be using the information on this registration form to measure the overall effectiveness of our Ohio Ready To Read program. If you have questions about completing this form, please email kcothren@olc.org.

First Name:

Last Name:

Title:

Library:

Library Address:

City:

Zip Code:

E-Mail Address:

Ready to Read Training:

Basic
Story Time
Fun Facts
Train the Trainer

(Optional) If you are interested in being a Ohio Department of Job and Family Services "Step Up To Quality" (program details) certified trainer in either Basic or Story Time, please complete the following:

Your college degree:
Institution:
Degree Date:
Have you had an employment background check in the past four years?:	Yes
Do you have your Director (or Supervisor) approval for conducting training outside the library?:	Yes