Contact Information |
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Name |
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Street Address |
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City ST ZIP Code |
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Phone Number |
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E-Mail Address |
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Availability |
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During which hours are you available to volunteer? |
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Monday AM____ PM____ |
Thursday AM____ PM____ |
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Tuesday AM____ PM____ |
Friday AM____ PM____ |
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Wednesday AM____ PM____ |
Saturday AM____ |
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Interests |
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Tell us in which areas you are interested in volunteering |
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Circulation Desk |
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Special Events |
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Children’s Storytime Reader |
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Fundraising Committee |
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Phone Bank |
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Special Library Projects |
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Newsletter Production |
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Special Skills or Qualifications |
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. |
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Person to Notify in Case of Emergency |
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Name |
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Home Phone |
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Work Phone |
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E-Mail Address |
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Agreement and Signature |
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By submitting this application, I affirm that the facts set forth in it are true and complete. |
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Name (printed) |
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Signature |
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Date |
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Our Policy |
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.
Thank you for completing this application form and for your interest in volunteering with us. |