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Volunteer Form

First Name:
Last Name:
Address:
 
City:
State:
Zip Code:
Phone Number: (999-999-9999)
Night Time Phone Number: (999-999-9999)
How did you hear about our volunteer opportunities?
Why would you like to volunteer?
Have you volunteered with us before? If so, when?

Please list any previous volunteer experience:

Organization & Address:
Position/Activity:
Supervisor:
Dates:
Please indicate your current level of education:
Are you trained in other areas?
If so, what are they?
Do you have hobbies or special interests?
If so, what are they?

Please check the areas you are interested in

Art Work/Displays Children’s Department Computers
Filing Making Telephone Calls Shelving Books

Please list three references (to whom you are not related) with the following information

Name Address Telephone Number Relationship to You How Long Known?
Do you have any limitations or medical conditions we should be aware of in the event of an emergency? If so, please list:
In case of an emergency, who should be notified?
Name: Telephone: Address: Relationship:
May we have the month and the day of your birthday?
When are you available to volunteer regularly?
Please check days and times:
Tue AM PM
Wed AM PM
Thu AM PM
Fri AM PM
Sat AM PM
How soon would you be available to begin volunteering?

Please note:

Volunteers are accepted for service after careful review of the application and an interview with the Volunteer Coordinator. Applicants will be notified if suitable positions are available.


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