Volunteer Application

First and Last Name

Email

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Emergency Contact Name

Emergency Contact Phone

Name of School:

Grade:

Middle School Mentor, mentor children Birth-Grade 8 attending youth programs, days and times vary

Special Projects and Events, email notifications sent when opportunities become available

High School Mentor, mentor children Birth-Grade 8 attending youth programs, days and times vary

Teen Advisory Board, help the Library better serve the needs and interests of local teens

Special Projects and Events, email notifications sent when opportunities become available

Interlibrary Loan Picker, help once a week for two hours pulling requested library materials

Special Projects and Events, email notifications sent when opportunities become available

Special Skills: Please list any special skills, interests, or hobbies that pertain to the Library. Are you fluent in any languages other than English?

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Signature

Sign above

Parent/ Guardian Signature (If Under 18 Years of Age)

Sign above

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status. Thank you for completing this application form and for your interest in volunteering. We will contact you soon regarding current volunteer opportunities available at Prospect Heights Public Library.

Prospect Heights Public Library District

Volunteer Application

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