Alexandria Library Adult Volunteer Application
Please complete this application if you are interested in becoming an Alexandria Library volunteer. Once you complete the form, click the continue button at the bottom to submit your application.
Name & Address
First name:
Last name:
Title:
Choose
Dr.
Mr.
Mrs.
Ms.
Nickname:
Street 1:
Street 2:
City:
State:
Choose
DC
DE
District of Columbia
MD
VA
Virginia
Zip:
Home phone:
Cell phone:
Email address:
Demographic Information
The information provided is used to help us get a better idea of the demographic make-up of our volunteers and to celebrate milestones.
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
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31
Year
2023
2022
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2020
2019
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2015
2014
2013
2012
2011
2010
2009
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2005
2004
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1948
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1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
(year optional)
Birth Year, if younger than 18:
Do you have a family member who works for the Library? If so, please provide their name.
Emergency Contact
Please indicate who you would want called in the event of an emergency:
First name:
Last name:
Home phone:
Cell phone:
Relationship:
Choose
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Partner
Son
Spouse
Supervisor
Educational and Occupational Background
What is your educational and occupational background?
Volunteer Interests
Why would you like to volunteer at the Alexandria Library?
Tasks & Duties
Please indicate the type of tasks/duties you would like to do as a library volunteer.
Skills
Do you have any other skills or experiences, which you'd like to note on your application?
Preferred Location
Please indicate the location where you would prefer to volunteer:
Location Preference:
Administration
Barrett
Beatley
Burke
Duncan
Law Library
Local History
Talking Books
Technical Services
Availability
Please indicate the days and times you are usually available to volunteer:
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Morning:
Afternoon:
Evening:
My availability is:
Choose
Ongoing
Ongoing, except between these dates
Only between these dates
From:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
to:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
I would like to serve up to:
hours:
Choose
Daily
Monthly
One time
Weekly
Volunteer Commitment Requirements
Are volunteer hours required?:
Choose
No
Yes
For community service?:
Choose
No
Yes
How many hours are required?:
Nature of your offense?:
Reference
First name:
Last name:
Home phone:
Work phone:
Cell phone:
Email address:
Relationship:
Choose
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Partner
Son
Spouse
Supervisor
Agreement
I certify that the information provided on this application is true and complete to the best of my knowledge, and agree that falsified information or significant omissions may disqualify me from further consideration for volunteering and, if I am accepted to be a volunteer, will result in my dismissal when discovered. I understand that, if accepted as a volunteer, I will be required to abide by all of the policies, rules and regulations of the Library and volunteer program. I authorize the library to investigate all statements contained in this application and to make inquiries of my personal reference and volunteer history, as well as other related matters as may be necessary for arriving at a decision of acceptance into the volunteer program. I hereby release employers, schools or individuals from all liability in responding to inquiries relative
to my volunteer application.
I Agree
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