Your Contact Information First Name * Last Name * Street Address * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming 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. Service Location Preference (Select all that apply) * Bridgeton Trails Cliff Cave Daniel Boone Eureka Hills Florissant Valley Grand Glaize Grant's View Headquarters Indian Trails Jamestown Bluffs Lewis & Clark Meramec Valley Mid-County Natural Bridge Oak Bend Prairie Commons Rock Road Samuel C. Sachs Thornhill Weber Road Person to Notify in Case of Emergency Name * Relationship to volunteer applicant * Street Address * City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming 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. Consent to Terms * I agree and accept the terms Your Name (Digital Signature) * CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
