Volunteer Application
Your Name
*
Your Street Address
*
City
*
Zip Code
*
Home Phone
Cell Phone
Email Address
Have you ever been convicted of a crime?
Yes
No
Is this a court-ordered volunteer service?
Yes
No
If yes, how many hours do you need?
Work History
Current Employer or School
Education - Last Grade Completed
Degrees/Certificates
Work Experience (Paid or Volunteer)
Have you previously volunteered at the Ephrata Public Library?
Yes
No
Skills, abilities and interests (please include computer skills)
Volunteering
Why are you interested in volunteering?
How many hours per week are you available to volunteer?
Please indicate day(s) and time(s) you are available to volunteer.
Mon. - Morning
Mon. - Afternoon
Mon. - Evening
Tues. - Morning
Tues. - Afternoon
Tues. - Evening
Wed. - Morning
Wed. - Afternoon
Wed. - Evening
Thurs. - Morning
Thurs. - Afternoon
Thurs. - Evening
Sat. - Morning
Sat. - Afternoon
Please indicate which job(s) you are interested in
Administrative/Office Volunteer
Adopt-A-Shelf Volunteer
Book Repair Volunteer
Book Sorter Volunteer
Book Store Volunteer
Building & Grounds Volunteer
Delivery Volunteer
Event Volunteer
Media Repair Volunteer
Periodical/Magazine Volunteer
Public Program Volunteer
Reserved Books Volunteer
Shelver
Other
List three references and their relationship to you. (Names and telephone numbers.)
Please list the name and telephone number of a person to contact in case of emergency.
Submit Form
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