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 * School We ask that each volunteer be prepared to make a commitment of a minimum of 20 hours volunteering per year. Are you able to commit to 20 hours of volunteering per year? * Yes No Are volunteer hours needed to fill a requirement for a school or club * Yes No Number of hours required * Date by which hours must be completed * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202220232024 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 Branch Cliff Cave Branch Daniel Boone Branch Eureka Hills Branch Florissant Valley Branch Grand Glaize Branch Grant's View Branch Headquarters Jamestown Bluffs Branch Lewis & Clark Branch Meramec Valley Branch Mid-County Branch Natural Bridge Branch Oak Bend Branch Park View Branch (formerly Indian Trails Branch) Prairie Commons Branch Rock Road Branch Samuel C. Sachs Branch Thornhill Branch Weber Road Branch Person to Notify in Case of Emergency Name * Relationship to 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. Volunteers Name * Parent/Guardians Name (if applicable) * CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
