Volunteer at the Troy Public Library

First Name: *

Last Name: *

Street Address: *

City: *

Zip: *

Home Phone: *

Cell Phone:

Email:

Age: * years

(Under 17 will need signed parent/legal guardian permission)

Availability (check all that apply): *

Weekdays

Evenings

Weekends

How many hours per week do you want to volunteer? : * hours

How many hours per month do you want to volunteer? : * hours

Are you looking for a short term (fewer than six months) or long term (more than six months) assignment?: *

Volunteer in the Youth Services Department (you must be 14 years of age or older)

I would like to (check all that apply):

Work on Adopt-a-Shelf program and organize shelves

Organize book carts for library staff to re-shelve

Organize and clean shelves

Dust books and clean materials

Volunteer in the Adult Services Department (you must be 16 years of age or older)

I would like to (check all that apply):

Work on Adopt-a-Shelf program and organize shelves

Mend books and magazines

Organize return carts for library staff to re-shelve

Dust books and shelves

Collect books and magazines and return to shelves

Organize magazines and newspapers

Assist Technical Services (weekdays only) with cleaning DVDs and CDs, and with unpacking materials

Do you have other strengths noted by a teacher, fellow employee, or employer? Explain below: *

Why would you be a great library volunteer?: *

Please list two adult references (not relatives) with phone number and email.

Reference Name: *

Address: *

Phone: *

Email:

Relationship: *

Second Reference Name: *

Address: *

Phone: *

Email:

Relationship: *

I hereby authorize the company/person listed above to release data, including information regarding my attendance and performance of job duties to Troy Public Library. I understand this information will be kept in the strictest confidence. : *

I accept

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Volunteer at the Troy Public Library