Volunteer Application Form

Privacy Policy

In respect to your privacy, all information submitted is confidential and is only used to comply with your request.

If you have trouble with the webform, please contact the Volunteer Coordinator and include as much of the followinginformation as you can in your email, volunteercoordinator@tcpl.org. Thank you.

Name:

Date:

I am over 18 years of age:

Yes No

Birth Date (optional) (mm/dd)

Address:

City, State, Postal Code:

Telephone (Day):

Telephone (Evening):

Cell:

E-Mail:

In case of an emergency, contact:

Contact Name:

Contact Telephone:

Relationship:

Reference:

Reference Name:

Reference Telephone:

Reference Email:

Reference Type:

Work Personal


Employment Information

I am . . .

Currently Employed
Currently Not Working
Retired
Student

Employer (If Applicable):

Occupation:

Supervisor's Name :

Supervisor's Phone:

Student Information: Complete this section if you are currently a student.

Education (check most current)
High School: 9 10 11 12
College: 1 2 3 4
Graduate: 1 2 3 4

What School are you currently attending?

Will you receive school credit for volunteering and/or is this required for a course?

Yes No

If yes, please explain

Number of hours required for credit:


Volunteering

Why are you interested in volunteering?

Is this required community service? Yes No
If yes, please explain:

Number of hours required?

Do you have any previous Volunteer Experience? Yes No
If yes, please describe:

Please describe any interests or special skills you have that might help the library (foreign languages, computer skills, etc.) :

Are there any tasks that you would prefer not to be assigned to?

How did you hear about volunteering at the Library?


Availability

Please fill out the following chart with your available volunteer times:
Number of hours per week desired:

Day

Times

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday


Authorization

If under 18, you will need to bring proof with you stating that you have permission from your parent / guardian.

By clicking on the "Submit Application" button below, I agree to regard my assignment as a serious commitment and abide by the polices of Tompkins County Public Library. I also agree to maintain communication with my supervisor regarding my assignment and request clarification as necessary.

Note: If you experience difficulties applying online, please call: (607) 272-4557 ext. 226.

Page last modified Mar 18, 2014