Volunteer APPLICATION

(JMRL does not accept court-ordered community service volunteers.)

*required

Contact info

*First Name: 
*Last Name: 
*Email: 
Street:
City:
Zip:
Phone (Home)
Phone (Work)
Phone (Cell)
Emergency Contact Name:
Emergency Contact Phone:
Relationship:

Education

High School/GED

School Name:

Degree:

College/University (undergraduate)

School Name:

Degree/Area of Study:

College/University (graduate)

School Name:

Degree/Area of Study:

Other:

Skills

Computers:

Foreign Languages:

Other:

Work Experience:

Volunteer Experience:

Library Experience:

Have you worked in a library setting? If so, tasks performed:

Preferences

I would like to volunteer at the following branches: (you may choose more than one)

Central Crozet
Gordon Greene
Louisa Nelson
Northside Scottsville
Bookmobile  

I am available on the following days:
(you may choose more than one)

Mon Tues
Wed Thurs
Fri Sat

I am available at the following times:
(you may choose more than one)

Mornings
Afternoons
Evenings

Are there specific library tasks in which you are especially interested (such as gardening, shelf-reading, book repair, etc.)?

Are you willing to help with one-time special projects/events?


References

Please list two references.

Reference 1:

Name:
Position:
Phone:
Email:

Reference 2:

Name:
Position:
Phone:
Email:

Volunteer work may involve heavy lifting, including pushing heavy carts, repetitive
motions, bending, stretching, etc.

Do you require special accommodations?

 

Have you ever been convicted of a crime, other than a minor traffic violation?

 

If yes, when and for what offense?


THE LIBRARY WILL USE THE PERSONAL INFORMATION YOU PROVIDE SOLELY TO ASSIST US IN DETERMINING THE BEST USE OF YOUR TIME AND SKILLS.

I understand that I will not hold JMRL, its employees, directors or funding agencies responsible for any injury while working as a volunteer.