Tech Coach Volunteer Application Form

Please complete this application form if you are interested in becoming a Tech Coach Volunteer at Kansas City Public Library.

Completing this application does not obligate you to participate in the program. You'll have the opportunity at the end of this application to select an orientation session. During the orientation, we will present you with an overview so you can learn more and ask questions before officially joining the Tech Coach team.

Basic Information

Tell us about yourself.

First name:

Last name:

Street 1:

Street 2:

City:

Zip:

Cell phone:

OK to call me here

Email address:

Date of birth:

Gender/Pronouns:

Education:

Employer:

Create a Password

Create a password to log into your volunteer portal.

Please enter a password that:

Is between 8 and 30 characters long

Password:

Confirm password:

Availability and Preferences

Please tell us about your preferences and availability so we can be prepared to connect you with those who need your help.

Community Service Fullfillment

Are you volunteering with us to fulfill a community service requirement for school, work or court? If yes, complete this section. If no, skip this stuff.

Number of hours needed:

Hours need to be completed by:

Name of School/Court/Employer:

If for court, please describe offense:

Emergency Contact

You'll probably be fine but, just in case we need to notify someone, who should we call?

First name:

Last name:

Cell phone:

Communication

We send weekly newsletters to keep you informed of community news and opportunities to serve. There are also times when we will send urgent messages about library closures and/or session cancellations. Opt in to receive these important messages.

Select an Orientation and Training

Please select the volunteer orientation and training session that works for you.

If none of these sessions will work with your schedule, leave this section blank and we will follow up to schedule an alternate training.

Times

Assignment

Volunteer Agreement

I agree to indemnify and hold harmless the Kansas City Public Library from any and all claims or causes of action that may arise out of my assigned volunteer duties. I waive any right of action I have against the Kansas City Public Library in consideration of my participation as a volunteer for the Library. I further understand and agree that I will receive no compensation for any services performed by me as a volunteer for the Kansas City Public Library.

I also understand that in my capacity as a volunteer, I may come into contact with confidential information. I agree to adhere to the Library’s policy regarding privacy of Library patrons and to protect personal and confidential information to the best of my abilities and not to divulge it during or after my service as a volunteer. I understand that a breach of confidentiality is grounds for dismissal.

I Agree

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