Volunteer Application

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Email *

First Name *

Last Name *

Street Address *

City, State, Zip Code *

Phone Number *

Date of Birth

YYYY

Availability - What hours (and how many), specifically, are you available to volunteer? Are you looking to volunteer at a specific event?

Availability cont'd *

Mornings

Afternoons

Evenings

N/A

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Interests - Please indicate in which areas you are most interested in volunteering your time.

Column 1

Assistance for youth events (set up, tear down, etc.) for summer reading

Assistance with maintaining library collection (weeding books, organizing, etc.)

Creation of book displays, etc.

Preparation for youth programs (crafts, etc.)

Service of delivering materials to homebound patrons

Service however needed

Reading Stories, Black History Cultural Education - Activites

Guest reader

Clear selection

Interests - Other

In order to give more details check Other below.

I am a 5th Grade Student at Rochester Intermediate School. I want to volunteer my time in the Library because I am an avid reader and come to the library frequently.

I’m going to be a senior next year. I want to volunteer because I like the library and organization in general.

8th grader looking for local service hours

I am going into 8th grade

I am going into junior year and want to support my local library that I have been going to since I was little while looking more applicable for upcoming opportunities

7th grader looking for local service hours

I'm in 8th grade going into 9th grade and I want to support my local library. Also just want to be helpful

I am a 7th grader that is homeschooled. I like to read and I want to be a part of the community.

Other:

Clear selection

Special Skills & Qualifications - Please briefly list any skills and/or qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

Previous Volunteer Experience - Please briefly list any pervious volunteer experience you have.

Emergency Contact - Name

Street Address

City, State, Zip Code

Phone Number

Email Address

Agreement *

By submitting this application, I affirm that the facts set forth in it are true and complete, I understand if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I also understand that the Rochester Public Library District, its staff members, and its patrons are not responsible for any injuries sustained during volunteer work.

Required

Our Policy - It is our policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference.

What shirt size do you prefer? *

XXL

Company Name (Go to section 2)

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