Volunteer Application

Date

MonthDayYear
Date
Name
Street Address
City
State
ZipCode
Home Phone
Cell Phone
Email Address
example@example.com
Your Age:

14-17 Yrs.18+ Yrs
Emergency Contact Name
Emergency Contact Address
Emergency Contact Phone
Emergency Contact Relationship
Have you ever volunteered at library before?

YesNo
If yes, which library?
When?
Do you have any special skills or interests? Briefly list your work experience, both paid and volunteer:
Do you have any activities that you cannot or are not interested in doing?
Check all categories that interest you:
Adult Services Department:

Shelving & Shelf ReadingMorning Prep AssistanceDusting & CleaningPrinting and Basic Computer AssistanceBook Nook Sorting & Shelf CleaningWebsite AssistanSet Up, Take Down, Help with Programs
Children's Department

Shelving & Shelf ReadingMorning Prep AssistanceDusting & CleaningWebsite AssistantSet Up, Take Down, Help with ProgramsPut together Take & Make Craft Kits
Maker Space:

Maker Space Monitors (train on and assist users with technology)Gadget Classes (helping with ipads, phones, etc)
Special Assistance:

Special Events (Funfest, Book Sale, etc)Social Media AssistanceGardening (seasonal outdoor care)Fund-Raising AssistanceBook Bundles (Home Delivery)Distribute PR MaterialsCommunity Deposit CollectionsGallery AssistantsCookie Bakers (for special events)Monitor & Mentor After School ProgramSpecial One-Time Projects

What days and times are you available to work? Check all that apply.

those programs are happening

I only want to work on special projects and events.I am only interested in projects I can do from homeI want to help with programs and can be available depending on when
You will be expected to obtain Child Abuse & PA Criminal Clearances before beginning your training. Have you ever been convicted of a felony or misdemeanor other than a traffic violation?
Child Abuse History Clearance: https://www.compass.state.pa.us/cwis/public/home

PA Criminal History: https://epatch.state.pa.us/Home.jsp
Volunteer clearances are free.

I already have my clearancesI need assistance with the clearance paperworkI can obtain my own clearances
Volunteer Agreement:
We ask for a minimum commitment of 2 hours per week for at least 6 months (unless volunteering only for special events or at-home projects My signature authorizes the Monroeville Public Library to verify any of the information on this application and to secure information from personal references. I understand that as a volunteer I am not entitle to monetary compensation for the work I perform or be entitled to worker’s compensation or group benefits in the event of injury. The Monroeville Public Library reserves the right to decline applicants. Monroeville Public Library also reserves the right to terminate a volunteer’s services should responsibilities not be fulfilled satisfactorily. I understand that I am required to obtain child abuse and state police clearances to begin volunteer work at the Monroeville Public Library. (These clearances are free for volunteers, but must be in place before the start date
Volunteer Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Early Morning
Morning
Mid-Day
Afternoon
Evening

Volunteer Agreement: