Teen Online Volunteer Application
First Name *
Last Name *
Street Address
City
State
Zip Code
Phone (primary) *
Phone (alternate)
Preferred Email *
I wish to be a long term volunteer YesNo
Volunteering is part of a community service requirement YesNo If yes, number of hours to fulfill: If yes, hours to be completed by:
Please indicate area of interest Adult DepartmentBack-office processingClericalComputer related tasksCraft preparationGathering requested materialsShelving materials/Shelf readingSpecial projects and eventsYoung Adult DepartmentNOW Lab Other:
Please list any special skills (For example, computer proficiency)
Do you have any physical limitations that might restrict your activity? YesNo If yes, please briefly explain:
Name
Relationship
Best phone number to reach them
Parent or Legal Guardian name
Phone number
Email address
Please indicate the choices of times you are available to volunteer
Monday: MorningAfternoonEvening
Tuesday: MorningAfternoonEvening
Wednesday: MorningAfternoonEvening
Thursday: MorningAfternoonEvening
Friday: MorningAfternoon
Saturday: MorningAfternoon
Sunday: Afternoon