Your Street Address
Have you ever been convicted of a crime?
Is this a court-ordered volunteer service?
If yes, how many hours do you need?
Current Employer or School
Education - Last Grade Completed
Work Experience (Paid or Volunteer)
Have you previously volunteered at the Ephrata Public Library?
Skills, abilities and interests (please include computer skills)
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
Book Repair Volunteer
Book Sorter Volunteer
Book Store Volunteer
Building & Grounds Volunteer
Media Repair Volunteer
Public Program Volunteer
Reserved Books Volunteer
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.
Should be Empty: