Volunteer Information Form
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Volunteer Information
Have you ever worked/volunteered for a library?
*
Yes
No
If yes, list your duties.
What activities would you like to do?
*
Grace Garden or Flower Beds by Library
Adult Programs
Kid Programs (Art, Storytime, Tutoring, or Junior Master Gardener)
Help with Events (Gala or Chili Cook-Off)
Work with Summer Reading Program & Activities
Clean Book Shelves, DVDs and CDs, or Shelve Books
Library Board Member
Other
If 'other' please specify:
How often would you like to volunteer
*
Weekly
Monthly
As needed
Please list your prefered days and or hours:
*
Do you have any health/physical restrictions?
*
Yes
No
If yes, please describe:
Reference
First Name
Last Name
Volunteer Agreement and Confidentiality Statement
I agree to serve as a volunteer for the Round Top Family Library
*
Agree
I will follow directions of the Library Director or staff in charge.
*
Agree
I will follow the Code of Ethics per library policy.
*
Agree
I will report any patron concern or problem to the Library Director or staff in charge at the time of incident.
*
Agree
I will NOT deal with the problem myself.
*
Agree
Background check required. Please initial if okay to do so:
*
Submit
Should be Empty: