Volunteer Application Form - Poplar Creek Public Library District

The Poplar Creek Public Library District (PCPLD) welcomes volunteers who support the library's mission and services. Volunteer services are supplemental in nature and are not intended to replace paid staff or perform essential operational functions.

To be eligible to serve as a volunteer, applicants must be at least eleven (11) years of age and must complete and submit a Volunteer Application along with any required consent forms or signatures.

For more information on becoming a volunteer, please visit our website at: Volunteer at the Poplar Creek Public Library District

If you are interested in becoming a volunteer, please fill out the information below.

PLEASE NOTE: The Poplar Creek Public Library District is unable to accept court-ordered or court supervised community service.

Today's date

MonthDayYear

First name

Last name

Address

Street Address

CityState / ProvincePostal / Zip CodeCountry

Phone Number

Format: (000) 000-0000.

Email

What grade are you entering in the fall? If not applicable, please type in "n/a".

What school will you be attending? If not applicable, please type in "n/a".

In which areas would you like to volunteer?

Please check all of the the days you are available to volunteer:

Please check the times that are best for you to come in:

Would you be available to volunteer:

Will your volunteer hours be used to fulfill requirements for school or another organization?

If you answered "yes" to the above question, please tell us which organization and how many volunteer hours you need to complete:

Do you have any physical limitations that need to be considered when placing you in a volunteer position?

If you answered "yes" to the above question, please share any physical limitations you might have:

All volunteers must be fluent in English, both oral and written. Do you also speak another language?

Yes! I speak another language. Please specify:

Emergency Contact:

First NameLast Name

Emergency Contact Phone Number:

Please enter a valid phone number.Format: (000) 000-0000.

Are you over the age of 18?

If you answered no to the above question, please upload two letters of reference from adults who are not family members using the upload link below.

Upload files here:

Signature of Volunteer Applicant (Ages 18 & Older) (If applicant is under age 18, parental signature is required)