Volunteer Application - Dearborn Public Library

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VOLUNTEER APPLICATION
Please print legibly:
NAME _________________________________________DATE ______________
(Last)
(First)
(Middle)
ADDRESS _________________________________________________________
(Street)
(City)
(Zip)
PHONE (Daytime) __________________ PHONE (Evening) _________________
E-MAIL ADDRESS __________________________________________________
EDUCATION _______________________________________________________
If you are a student, please complete the following:
School: ___________________________________ Grade ________________
Age (if under 18) _____________
*Community Service fulfillment for school: _____ Yes
_____ No
If yes, number of hours needed __________ Date must be completed __________
*Students from Dearborn schools only; Must have counselor’s signature.
WORK EXPERIENCE ________________________________________________
COMPUTER SKILLS
None
Some
Proficient
Please describe your software and/or hardware skills, if any: _________________
___________________________________________________________________
1.
Revised 03-20-15

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