Volunteer Information Form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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 (e.g. fitness instructors, Mahjong, volunteer reception, Author! Author!, FYI)
Children's Programs (e.g., Art, Storytime, Tutoring, Junior Master Gardener)
Events (Gala or Chili Cook-Off)
Children's Summer Education & Enrichment Program
General Library Operations (e.g. shelving, check out/in books)
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: