Volunteer Application

Date

First Name

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Date of Birth: (Must be 14 years of age to volunteer)

School and Grade (if applicable)

For hourly requirements, how many hours do you need?

Date Due:

Availability: (Include times each day, example 1-2pm)
*Shifts are a minimum of 2 hours/week.

Volunteer Interests: (Please check all areas of interest)

Shelving, Sorting, and Shelf Reading (Making sure books are in order)

Program Assistance

Craft Preparation

General Maintenance

Summer Reading Program

Clerical

Special Projects

Distributing Fliers

Friends of the Library Fundraising

Why do you want to volunteer at the Mulvane Public Library? What do you hope to gain from this experience?

References: (Please list two references who are not relatives)

1.

First Name

Last Name

How do you know this person?

2.

First Name

Last Name

How do you know this person?

Emergency Information:
In case of an emergency, contact: (Name, phone, and relationship to volunteer)

First Name

Last Name

Relationship to Volunteer

Date

I understand that this is an application for, and not a commitment to or promise of, a volunteer opportunity. I certify that all information provided is true, correct, and complete to the best of my knowledge. I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. If 18 years of age or older, I understand that the Mulvane Public Library may verify information contained on my application in a background check. I also understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant or my termination as a volunteer. I authorize investigation and/or verification of all statements contained in this application and release all parties contacted from any and all liability resulting from information provided.

If you are under 18, please have a parent or guardian check the box below as well:

I give permission for the applicant to volunteer at the Mulvane Public Library.