* 1. Your details

* 2. Why would you like to become a Reader Leader?

* 3. Have you identified a venue where you, or other Reader Leaders, can hold your weekly Shared Reading group? If so, have you contacted them yet?

* 4. Do you have a group of people that you think would be intereted in coming to the group? How would you promote it? Can you commit to developing your Shared Reading group/s?

* 5. Tell us about a piece of literature which has touched you personally.

* 6. What qualities would you value most in a Reader Leader? Please give details.

* 7. Do you have any concerns about becoming a Reader Leader?

* 8. Where did you hear about this Reader opportunity? (This helps us with future recruitment)

* 9. Reference (please supply the name and contact details of someone willing to be a referee for you. This cannot be a friend or a member of your family.)

* 10. Your next of Kin

We will store your details in a safe and secure manner, and only use them in relation to your volunteering opportunity.