Name

Age (if under 18)

Grade (if applicable)

Phone Number

Email Address

Emergency Contact Name

Emergency Phone Number

Availability (Check all that apply) MondaysTuesdaysWednesdaysThursdaysFridaysSundays

Preferred Time(s) MorningAfternoonFlexible

Do you need volunteer hours for school, community service, or another program? YesNo

If yes, how many hours are needed?

Date

Signature

(Parent/Guardian signature required if under 18)

Parent/Guardian Signature

Date

What type of tasks are you interested in helping with? (Check all that apply) Shelving BooksCleaning/Prep(tidying spaces and organizing)Arts and Crafts PrepChildren’s Programs and Storytime assistanceEvent setup/clean upTechnology help(computers, tablets, printing assistance)Clerical tasks(photocopying, cutting, etc)Sorting DonationsDVD Cleaning and Checking(Make sure the DVD disc is not scratched and plays without issue)

Do you feel comfortable working directly with the public? YesNoNot sure, but willing to try

Do you have any allergies that we should be aware of? Yes (If so write them here)No

How did you hear about our volunteer program?