Volunteer Application

Your Name*

Phone Number

E-Mail Address

Street Address

City

State

Zip Code

PINES Card Number

Your Age*

Desired Volunteer Location*

Which group would you like to volunteer with?*

Current School

Highest Grade Completed*

Languages Spoken

Previous Employer

If Applicable

Job Title

Job Duties

I have previous volunteer experience.

Previous Volunteer Duties

Hobbies*

Relevant Skills*

Any other information that may help us place you as a volunteer*

Emergency Contact #1*

We require one emergency contact.

Emergency Contact #1 - Phone*

Emergency Contact #2

Emergency Contact #2 - Phone

Have you ever been convicted of or pled guilty to a felony or misdemeanor, other than a minor traffic violation?

Conviction or plea will not necessarily disqualify applicant, but will require a background check.

I am volunteering to complete community service

Reason for Community Service

Reasons include groups such as Scouts, School Groups, etc. If Community Service is court-mandated, please speak with library staff prior to completing this form.

Hours Needed

Must Be Completed by

Hours and days available to volunteer*

I understand that this information will be handled confidentially and will only be disclosed to parties with proper authorization. I release this agency from any liability whatsoever when supplying such information. I certify that the statements made in this application are true and correct and have been given voluntarily. I understand that misrepresentation of any information may result in termination of my volunteer involvement. I understand that a background check may be required. I agree to abide by the rules of the library. I understand that I will not be paid for any services as a volunteer and I expect no compensation. I certify that I am either over eighteen years of age, or have permission from a parent or guardian to submit a volunteer application, and that a parent or guardian will come to the library to sign that I have permission to volunteer.

Captcha*

Greater Clarks Hill Regional Library

Volunteer Application