Volunteer Application

Last Name
First Name
Middle Name
Street Address
City
State
Zip Code
Home Phone
Cell Phone
Date of Birth
E-mail Address
How did you hear about us?
Date Available to Start 
Preferred Schedule (check all that apply)
Summer   Fall   Winter   Spring   All Year   Long-Term   Temporary   On-Call (Substitute)
Please note how many hours you would like to work each week?
Mon. Tue. Wed. Thu. Fri. Sat. Sun.
AM
(8:30–12:00)
PM
(12:00–6:00)
EVE.
(6:00–8:00)

EDUCATION

Elementary or high school grade completed    Did you graduate? Yes   No

School Name and Location Dates Attended Major Subjects Date Degree Granted or Expected Diploma or Degree
From To
Mo. Yr. Mo. Yr.
Vocational/Technical School
College
Graduate School
Other Special Schooling

CONTACT INFORMATION (In case of an emergency, contact:)

Last Name
First Name
Phone Number
Relationship
Email

REFERENCES (List three non-family work or personal references who are qualified to describe your work abilities)

1) Last Name
First Name
Phone Number
Email Address
2) Last Name
First Name
Phone Number
Email Address
3) Last Name
First Name
Phone Number
Email Address

PREFERRED SERVICE AREA

Where would you prefer to volunteer? Friends Bookstore The Reading Roadshow Lending Hands Circulation Services Genealogy Adult Services Administration Children Services Youth Services Computer Center

VOLUNTEER JOBS

Check jobs that interest you
Clerical computer work, clerical non-computer work
Delivering books to homebound readers
Shelving books/straightening shelves
Mending or processing books
Monitoring computer center
Organizing programs/ promotions
Outdoor – landscape maintenance
Answering telephones
Tour Guide
Reading to Pre-School Children
Other, please specify:

SKILLS

Check skills you have
Dewey decimal system, filing, alphabetizing
Marketing, advertising, public relations
Gardening
Languages other than English, please specify
Photography
Puppetry or storytelling
Graphic design
Genealogy Skills, please Specify
Computer skills, please specify
Other, please specify:

OTHER INFORMATION

Have you ever been convicted under any criminal law as an adult? Yes No

If yes, please explain:

AGREEMENT

APPLICANT: READ AND SIGN BEFORE SUBMITTING THIS APPLICATION:
To ensure that employees and volunteers of Fayetteville Public Library are well-qualified and to further ensure that Fayetteville Public Library maintains a safe and productive work environment free of any form of violence, harassment or misconduct, it is the policy of Fayetteville Public Library to screen applicants, whether for employment or volunteer work, and to verify applicant references, credentials, or both.

I agree and understand that Fayetteville Public Library may investigate my background and employment history to ascertain any and all information pertaining to my record, whether same is of record or not. I release employers and persons named herein from all liability for any damages on account of their furnishing such information.