Please complete this application form if you are interested in becoming a Dayton Metro Library volunteer. You will receive an email about next steps.

Once you complete the form, click the submit button at the bottom.

Volunteers must be at least 12 years old. If you are under 18, a parent or guardian’s signature is required on final paperwork.

Personal Information

First name:

Last name:

Middle name:

Preferred Name:

Preferred Pronouns:

Contact Information

Street 1:

City:

State:

* Zip: *

Home phone:

* OK to call me here

Email address:

Education & Employment

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Education:

Major degree (if in college):

School:

Is this to meet a service requirement?:

Deadline for service hours:

Service hours needed:

Employer name:

How did you find out about volunteer opportunities at the library?

Emergency Contact

In the event of an emergency whom should we notify?

First name:

Last name:

Home phone:

Relationship:

Availability

Please indicate the days and times you are available to volunteer.

Location Preference

Please select the locations you prefer. Keep in mind, not all volunteer opportunities are available at all branch locations.

Opportunities

Please check any opportunity that interests you.

Volunteer Experience

Please tell us where you volunteered and what were your tasks.

Have you ever volunteered before? If so, where and what were your tasks?

Skills

Do you have any special skills that you would like to share at the library?

References

Please list two references in the space provided (no family members and references must be over age 18):

1

2

First name:

Last name:

Home phone:

Email address:

Relationship:

I Agree

I understand and agree that submitting this application form does not automatically register me as a Dayton Metro Library volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering. Further, I understand that in order to volunteer for a position requiring direct services to patrons, I may be required to submit fingerprints to the BCII in accordance with SB 187 may be asked to submit fingerprints at any time.

I understand that I will not be paid for my services as a volunteer and I expect no compensation.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

In consideration for permission to perform volunteer services for the Dayton Metro Library (and its affiliated entities), I hereby agree to release, discharge and hold the Dayton Metro Library (including its affiliates, board members, officials, and employees and other volunteers) harmless from and against any claims/liability for bodily injury (including all consequences therefrom), personal injury and/or property damage which I may suffer or claim to suffer by reason of my voluntary participation in the activity/program set forth above. This release and indemnity obligation is intended to explicitly and specifically release the above parties from liability for their own negligence, be it active, passive or gross, or alleged as thus. This release and indemnity is further intended to cover all derivative claims which arise or may arise out of any events, losses or claims which may arise hereunder.

**Mascot Requirements

For mascot applicants:I HAVE READ THE FOLLOWING AND CERTIFY THAT:

• I meet the physical requirements/limitations of the Mascot costume by being between 5’1” - 5’8” tall and weigh up to 185

pounds

• I am willing to be trained in the Mascot’s “signature moves” and follow all other safety guidelines and rules set forth by Dayton Metro Library

• I consider myself outgoing and good with children, friendly and engaging, spirited and enthusiastic

• I feel comfortable with my current physical ability, endurance, and strength to move freely and energetically in the Mascot costume; I have no health or physical issues which would hamper my ability to perform as the Mascot or which might cause performing as the Mascot to be unsafe to my health; I am covered by a personal medical insurance plan.

I Agree