Volunteer

Today's Date*

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Emergency Contact:*

First Last

In case of emergency, we will notify this person.

Relationship to volunteer

Emergency Contact's Phone*

I am a (check all that apply)*

I am seeking this volunteer position:*

Do you have any physical or health restrictions? (Please specify)*

Have you ever been convicted of a crime?*

If yes, please state the crime(s) you were convicted of and explain the date, location, nature and facts surrounding each conviction.

The area(s) in which I have experience and would like to volunteer my time are:*

Administrative: (General Clerical, Mailings, Community Information Coordinator)
Marketing & Programming: (Special Events,Adult Programs, Teen Programs, Storytime/Crafts Helper, Summer Reading Programs)
Library Services: (Shelf Reading, Local History, Materials Processing, Materials Processing, Genealogy Helper/Trainer, Newspaper Indexing (on computer), Outreach)
Library Maintenance: (Gardening & Yard Work, Meeting rooms set-up & take down, Children's Garden, Handyman)

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