Volunteer Application - Dearborn Public Library (Page 3 of 4) in pdf

Volunteer Application - Dearborn Public Library Page 3

AT WHICH LIBRARY DO YOU WANT TO VOLUNTEER? (can check more than

one)

HFCL

Bryant

Esper

ARE YOU AVAILABLE FOR

Short Term project

On Call, as needed

Ongoing projects (working on a weekly basis)

TIME SLOTS YOU ARE AVAILABLE

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Morning

Afternoon

Evening

ANY ADDITIONAL INFORMATION ABOUT YOUR AVAILABILITY THAT YOU

WOULD LIKE US TO KNOW __________________________________________

__________________________________________________________________

ANY ADDITIONAL INFORMATION ABOUT YOU THAT YOU WOULD LIKE US TO

KNOW_____________________________________________________________

The library will use the personal information you provide solely to assist us in finding

the best volunteer position for you.

To promote a safe work environment for patrons, staff, and volunteers, criminal

background checks may be required of all potential volunteers. For this reason,

please answer the following questions.

SEX: Female

Male

BIRTHDATE: _____/_____/_____

RACE/ETHNIC GROUP: White (Non-Hispanic)

Black (Non-Hispanic)

Hispanic

Asian or Pacific Islander

Amer. Indian or Alaskan

Arab

Other

Revised 03-20-15

Volunteer Application - Dearborn Public Library Page 3