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

I am comfortable interacting with the public while following COVID-19 guidelines
YesNo

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

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