APPENDIX D
Morrisville Public Library Volunteer Application Form
Thank you for your interest in volunteering. The information on this form will be used to help determine a volunteer assignment which will be well suited to your background and interests and availability. Please complete all questions and sign the form before submitting.
Name_______________________________________________________ Date______________________________
Address______________________________________________________
City/State/Zip________________________________________________
Home Phone________________________
Work Phone________________________________________
Cell Phone_____________________________________
Age Group (circle one): 14-18 19-30 31-59 60+
You must be at least 14 to volunteer. Volunteers under 18 must have a parent/guardian complete the consent section on the reverse side of this application. Age if under 18______________
Do you have any medical conditions the library should be aware of? ________________________________________
_______________________________________________________________
Have you ever been convicted of a crime? Yes_____ No_____
If yes, please give a short explanation outlining the circumstances of your conviction indicating date, nature and place of offense and disposition. (Do not include traffic violations or convictions sealed or annulled by the court). Convictions will not necessarily disqualify you from the volunteer position for which you are applying.
___________________________________________________________________
Occupation and/or Education:
Circle the highest grade completed 9, 10, 11, 12 College/Graduate School (degrees completed) ___________________
Current and/or former Occupation____________________________________________________________________
Employer______________________________________________________________________
Are you a student? 0Yes 0No
Which school do you attend? ________________________________________________________________________
References: List two employers, supervisors, teachers or non-relatives we may contact for reference.
Name_________________________________________________________ Phone____________________________
Name_________________________________________________________ Phone____________________________
Skills:
Do you know how to use a computer? 0Yes 0No
Are you familiar with: 0Internet 0Microsoft Word 0Microsoft Excel
What special interests and/or skills do you have that may help us match you with the best volunteer assignment?
____________________________________________________________________
Volunteer Interests:
Why do you want to volunteer?
__________________________________________________________________
Time Commitment: Most volunteer positions at the library require an on-going commitment of 3-months or more. Special projects may be available for less than a 3-month commitment. Please tell us how long you would like to commit to a volunteer job.
03 months 06 months 09 months (a school year) 0One year 0On-going
0Summer (July 1-August 31) 0Other, please specify___________________________________________________
When are you available? Please specify hours for all that apply.
| Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | |
| Morning | Closed | Closed | Closed | |||
| Afternoon | ||||||
| Evening | Closed |
Please return completed application to the Library Manager, Morrisville Public Library, PO Box 37, Morrisville NY 13408
