Volunteer Application - Middle Country Public Library Mutt Club Teens

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Applicants must be in 6th-12th grade to apply.

If you are an animal lover, want to make a difference in a shelter animal’s life, then this club is for you! You will work on projects for shelters and animal groups. Community service hours are given to those who participate in the club. After filling out the form, a librarian will contact you regarding the status of your application. Please allow up to one week for a response to your application. Upon being accepted into Mutt Club you will receive a copy of the monthly meeting schedule. Any questions, please contact Kristin Shankles at 631-585-9393 x240 or Kaity Gloster at 631-585-9393 x242.

Name *

Street Address, Town, Zip Code *

Telephone Number *

E-Mail Address *

Name of School *

Grade *

What qualities would you bring to the Mutt Club? *

Please list any school or extracurricular activities and clubs you are involved with. *

Do you have any volunteer experience? If yes, please explain. *

List other teen programs (in-person or virtual) that you have participated in at the library. *

List 2 ideas that the Mutt Club could do to help local animal shelters: *

Would you have a problem attending one virtual meeting each season? *

Yes

Other:

Being a Mutt Club member is a responsibility that requires a time commitment throughout the year. Please read the MCPL Mutt Club Contract and MCPL Patron Behavior Policy below.

Being a Mutt Club member is a responsibility that requires a time commitment throughout the year. Please read the MCPL Mutt Club Contract and MCPL Patron Behavior Policy below.

By typing your full name below, you are acknowledging that you have read and understood the MCPL Mutt Club contract and MCPL Patron Behavior Policy and agree to abide by them. *

By checking the box below, you are agreeing that your parent/legal guardian read and understood the MCPL Mutt Club contract and MCPL Patron Behavior Policy. *

Yes, my guardian is aware.

Required

Parent/Guardian First and Last Name *

Parent/Guardian E-mail Address *

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