The Placentia Library is undergoing a renovation will have limited volunteer opportunities from September 2018 through September 2019. Please be sure to carefully review the current volunteer opportunities available in our directory to ensure there is something that meets your needs before submitting an application. We will resume our regular volunteer opportunities in the summer of 2019.
Please complete this application form if you are interested in becoming a Placentia Library District volunteer. Once you complete the form, click the submit button at the bottom.
Please enter your full Placentia Library Card number, no dashes.
In the event of an emergency, whom should we notify?
The following information is only used to help us get a better idea of the demographic make-up of our volunteers. Volunteers must be 12 years old or older to volunteer.
Please indicate the days and times you are usually available to volunteer.
Please select any areas which you feel you have moderate to excellent skills. Check all that apply.
Please indicate any languages you speak. Fluency is not required, but you should be proficient enough to carry on a conversation. Check all that apply.
Please list any former or current Placentia Library employees that you know personally or are related to. If you are a former employee of the Placentia Library District please provided the years you worked here and your job title.
I/We hereby agree to indemnify and hold harmless the Placentia Library District and any of its officers, agents, or employees from any liability claim or action for damages resulting from or in any way arising out of the participation in this program by the above participant. Additionally, I/we give permission to the Placentia Library District to photograph the above participant and to use such photographs in the promotion of Library sponsored activities. The above participant will abide by the policies and procedures contained the Volunteer Handbook and reviewed at the Volunteer Orientation. Your assignment with the Placentia Library District is a voluntary one and is subject to termination by you or the Placentia Library District at will, with or without cause, and with or without notice, at any time. Nothing in this application shall be interpreted to be in conflict with or to eliminate or modify in any way the at-will status of Placentia Library District volunteers.
Please type the first and last name of the parent or legal guardian of the above participant who is signing this release.
I am over 18 or am the parent/guardian of volunteer listed above. I have read and understand the above agreement.