YOUTH VOLUNTEER APPLICATION Name* CONTACT INFORMATION Phone Number* Email Address* Do you have a library card? Yes No Current level of education?* Do you have any medical conditions you would like us to be aware of? Yes No If you answered yes, please explain. EMERGENCY CONTACT INFORMATION In case of emergency, notify:* Phone Number* Relationship* What days are you available?* Monday Tuesday Wednesday Thursday Friday Saturday Volunteers are expected to work 2 - 3 hours per week. Please indicate your preferred hours (i.e. 3:00 p.m. - 5:00 p.m.).* Please briefly describe your education, and any skills or experience that you consider relevant. Have you ever been convicted of a misdemeanor or felony?* Yes No If you answered yes, please explain: REFERENCE INFORMATION Please list two references, either work or personal (exclude family members). Reference 1 - Name* Reference 1 - Phone Number* Reference 2 - Name* Reference 2 - Phone Number* Have you ever volunteered before? Yes No If you answered yes, what type? Why are you interested in volunteering at the library?* In which areas are you interested in volunteering?* Shelving Movies Shelf Reading/Straightening Computer Assistance Program Assistance Display Creation Craft Preparation Cleaning Story Time Assistance Creating Signs Art Photocopying AGREEMENT I certify that the statements made in this volunteer application are true and correct, and have been given voluntarily. I understand that this information may be disclosed to any party with legal and proper interest, and I release Samuels Public Library from any liability for supplying such information. I understand that Samuels Public Library reserves the right to screen volunteers, to accept or reject any applications, and to place applicants in specific locations and positions based on the needs of the Library. I understand that I will not be paid for my services as a volunteer and I am giving my time freely to the Library. I understand that my volunteer service may end at any time for any reason with or without cause and with or without notice. Please check the box below to verify your application: submit Thank you for your interest in volunteering. We will contact you soon after reviewing your application. Please turn on javascript to submit your data. Thank you! Powered by BreezingForms Tweet
