Volunteer Information

First Name *

Last Name *

Street Address

City

State

Zip Code

Phone (primary) *

Phone (alternate)

Preferred Email *

Volunteer Goals

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:

Emergency Contact Information

Name

Relationship

Best phone number to reach them

Applicants under 18

Parent or Legal Guardian name

Relationship

Phone number

Email address

Availability

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