Please note that submission of this form does not constitute automatic acceptance into the library's volunteer program. Applicants under the age of 18 will still require a parent or guardian's signature at the time of interview/orientation. Adults will need to submit their social security number along with their driver's license or other I.D. for background check.

Please complete this application form if you are interested in becoming a Pickerington Public Library volunteer or volunteen. Once you complete the form, click the Continue button at the bottom.

Contact Information

Please add name, address, phone and email. We communicate primarily through email.

First name:

Last name:

Middle name:

Street 1:

Street 2:

City:

State:

* Zip: *

Primary phone:

Secondary phone:

Email address:

Online Log-In Information

We use Volgistics, an online volunteer management system, to sign up for volunteer shifts and to record service hours. Your username for Volgistics will be the email you listed above. Please choose a password that you will remember.

Please enter a password that:

Is between 5 and 30 characters long

Password:

Confirm password:

Demographic Information

Date of birth:

Gender:

School (current students):

Emergency Contact

In case of emergency, who should we contact?

First name:

Last name:

Primary phone:

Secondary phone:

Relationship:

Reference (non-family member)

Please provide contact information for a non-family member who knows you well.

For adults, this might be a coworker or supervisor.

For students, this might be a teacher or coach.

First name:

Last name:

Primary phone:

Secondary phone:

Email address:

Availability

Please indicate how frequently you would like to volunteer with us. Note that we prefer volunteers to commit to a regular, ongoing schedule.

How often would you like to volunteer?:

For how long?:

Details (optional)

Experience & Skills

Please share any relevant work history, volunteer experience, or special skills that would be beneficial to the library. (E.g. experience working with children, organizational skills, academic strengths)

Interest in volunteering with PPL

Please share why you are interested in volunteering with the library. Enjoying reading is great - but we want to know why you choose to spend your free time with us.

Agreement Statement

I certify that all statements made in my volunteer application are true and correct to the best of my knowledge. I give Pickerington Public Library permission to verify all information contained in this application as may be necessary. I understand that adult volunteers (18+) must submit to a background check before being assigned any volunteer responsibility. If my offer is accepted, I will not be entitled to compensation for any services I provide.

I Agree