Adult Volunteer Application

Your Contact Information

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Sponsoring Organization (if applicable)

What day(s) and time(s) are you available? *

Example: Mondays 9:30 a.m.-11:30 a.m. or Saturdays 9:00 a.m.-1:00 p.m.

What achievements, qualities, or skills do you possess that will make you successful as a library volunteer?

Reason for volunteer service

Summarize your reason for seeking volunteer hours.

Person to Notify in Case of Emergency

Name *

Relationship to volunteer applicant *

Street Address *

City

State

Zip Code

Phone Number *

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. If accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I understand that if accepted as a volunteer I will be asked to complete a background check.

Your Name (Digital Signature) *

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Adult Volunteer Application