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Volunteer Application

Personal Information

Title:

First name: *

Middle name:

Last name: *

Street Address: *

City: *

State: *

Zipcode: *

Month of birth: *

Day of birth: *

Email: *

Telephone (home):

Telephone (work):

Telephone (cell):

Preferred Activities

Central volunteer activities you would be interested in:

Administrative Aide

Welcome Desk

Computer Assistant

Computer Trainer

Docent/Tour Guide

History/Archives

WYPL Radio Reader

Friends of the Library*

Bookstore Volunteer

Special Events/Projects

Other

*Requires a Friends membership fee.

Branch volunteer activities you would be interested in:

Shelving/Office

Program Assistant

Computer Assistant

Friends of the Library*

Summer Reading Club

* Requires a Friends Membership fee.

Location Preferred

Central Library preferred location:

Department location preferred:

Branch location preferred:

Availability

Morning:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Afternoon:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Evening:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Number of hours available per week:

Education

Highest level completed: *

College Degree(s) or Professional Training:

Languages you speak other than English:

Employment

Status: *

Employer:

Occupation/title:

Responsibilities:

How did you learn about the Library's Volunteer Program?

Check the sources where you learned about the program:

Library Volunteer

Staff

Library Flyers

Radio/TV

Newspaper

Company/School

Other

Other:

If you checked other above, please explain.

Reason(s) for volunteering:

Have you ever been a volunteer for an organization: *

If yes, please list your duties during your volunteer experience:

Please tell us about your levels of experience:

Please tell us about your community and civic organization experience:

Have you ever been convicted of an offense other than a minor traffic violation: *

If yes, please explain:

Emergency Contact Persons

Contact Person 1

Name:

Telephone:

Relationship:

Contact Person 2

Name:

Telephone:

Relationship:

Agreement

I certify that the statements made in this volunteer application are true and correct and have been given voluntarily, I understand that misrepresentation of any information may result in termination of my volunteer involvement with the Memphis Public Library & Information Center, Foundation for the Library or Friends of the Library.

I am volunteering my time for personal reasons, I understand that I will not be paid for my services as a volunteer and expect no compensation.

Minors

Volunteers under the age of 18 must have a parent or guardian's signature. The parent or legal guardian must enter their name and check they agree to be bound by this agreement.

Parent/Guardian's name:

I (the applicant and/or parent/guardian entered above) have read and understood this agreement and agree to be bound by it.: *

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