Midlothian Public Library (IL)
Volunteer Application
Name
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Is your community service required for school, confirmation, an honor society, etc.?
*
Yes
No
Please select volunteer type:
*
Teen
Adult
If you checked "Yes," to the above question, please complete below.
Number of hours required:
Deadline to complete:
SKILLS
Languages fluently spoken in addition to English:
Technology:
Other:
AVAILABILITY
Please indicate times you are available during the library's hours of operation (M-Th 9 AM-8 PM, F-Sa 9 AM-5 PM).
Monday
*
Tuesday
*
Wednesday
*
Thursday
*
Friday
*
Saturday
*
EMERGENCY CONTACT
Emergency Contact Person
*
First Name
Last Name
Emergency Contact Relation
*
Emergency Contact Phone Number
*
-
Area Code
Phone Number
CONSENT TO LIBRARY POLICIES
Volunteers deserve to be and shall be given the respect and courtesy given to paid employees of Midlothian Public Library ("Library"). Volunteers are bound by the Library's Volunteer Policy, Patron Behavior Policy, and all other policies and procedures of the Library. Any violation of the Library's policies or other behavior considered inappropriate may be grounds for termination of the volunteer's association with the library. I acknowledge that all the Library's policies are available at www.midlothianlibrary.org or from a staff member at the Library Help Desk.
Signature
*
Date
*
-
Month
-
Day
Year
Date
If the applicant is age 18 or older, please note there may be a need to perform a background check. We will contact you for further information.
Submit
Submit
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