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 Year201920202021 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 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.
