Independence Public Library Volunteer Application
No experience is necessary to volunteer!
CONTACT INFORMATION
Name:
Street Address:
City, State, Zip
Home Phone:
Other Phone:
E-Mail Address:
If you are Under 18 Years Old What is Your Age:
AVAILABILITY
Available to Work:	Weekday Mornings Weekday Afternoons Weekday Evenings Mondays Tuesdays Wednesdays Thursdays Fridays
AREAS OF INTEREST
Tell Us Which Areas you are Interested in Volunteering:	Computers Genealogy Help with Programs Art/Displays Filing/RestockingBooks Working with Children Working with Teens Library Monitor Volunteer Coordination Advertising Where Ever Needed
SKILLS & QUALIFICATIONS
SkillS, Experience, Previous Volunteer Work:
CONVICTIONS
Have you ever been convicted of a crime?	Yes No
PERSON TO NOTIFY IN AN EMERGENCY
Name:
Street Address:
City, State, Zip
Home Phone:
Other Phone:
E-Mail Address:
POLICY
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age or disability.
AGREEMENT
By submitting this form you affirm that the facts set forth are true and complete. You understand that if you are accepted as a volunteer, any false statements, omissions, or other misrepresentations made by you on this application may result in your immediate dismissal.