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2. First Name*
3. Last Name*
4. Middle Initial*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Phone *
14. Email*
15. Date of Birth*
17. School (if applicable)
18. Grade
22. Emergency Contact Information
24. Emergency Contact*
25. Phone*
29. Volunteer Information
31. Volunteer Experience*

    List any previous volunteer experience you have, including type of work done and organizations you've worked with.

33. Volunteer Location*

    Which location(s) are you interested in volunteering at?

    1. Theodore Johns
    2. Maurine Gray Literacy Center
    3. Downtown Main
    4. R.C. Miller
    5. Tyrrell Historical Library
    6. Elmo Willard
35. Dates of Service*

    What day(s) are you interested in volunteering?

    1. Monday
    2. Tuesday
    3. Wednesday

    1. Thursday
    2. Friday
    3. Saturday
36. Time Preference*

    What time(s) of the day are you interested in?

    1. Morning
    2. Afternoon
    3. Evening
40. Volunteer Agreement
42. Electronic Signature Agreement*

    Volunteers under the age of 18 must have a parent or guardian sign this form. If a volunteer is scheduled to work and cannot, it is their responsibility to call the library. All library rules and regulations must be adhered to by volunteers. 

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
44. Volunteer Signature*
46. Parent Signature
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field