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:

Nickname:

Street 1:

Street 2:

City:

State:

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:

(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:

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:

Availability

Please indicate the days and times you are usually available to volunteer:

Volunteer Commitment Requirements

Are volunteer hours required?:

For community service?:

How many hours are required?:

Nature of your offense?:

Reference

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Email address:

Relationship:

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