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Volunteer Information
Name (first and last):
Address:
City/State/Zip:
Phone Number:
E-mail Address:
Are you 18 years of age or older?
Yes
No: (age):
Volunteer Opportunities:
Programming
Special Projects
Teen Advisory Committee
Shelving
Clerical Work
Summer Reading Assistant *grades 7-12 more info here
Landscaping
Friends of the Library
Cleaning
Training/Skills:
Arts/Crafts
Marketing
Photography
Technology
Sewing
Foreign Language
Gardening
Other:
Limitations:
Heavy Lifting
Limited Hearing
Limited Walking
Vision
Medical Conditions or Allergies:
Other:
Availability:
Weekdays
Weekends
AM
PM
Flexible
Are you fulfilling requirements for community service hours?
No
Yes ...
What for?
How many hours?
When do they need to be completed by?
How did you hear about this opportunity?
Why do you want to volunteer?
References
Please list two references not related to you whom we may contact.
Name:
Email:
Phone Number:
Name:
Email:
Phone Number:
Emergency Contacts
Emergency Contact Name:
Emergency Contact Phone Number:
Relationship:
Emergency Contact Name:
Emergency Contact Phone Number:
Relationship:
Please direct any questions to:
Maria Ochoa
Podell
mochoapodell@midlibrary.org
608-827-7406
VOLUNTEER APPLICATION AGREEMENT: I certify that all
statements made on this application are true and complete to the best of
my knowledge. By submitting this form, I authorize Middleton Public
Library to make inquiries as to my experience and character. I give
permission for the Middleton Public Library to conduct background
check(s) on me now and as long as I continue to be active with the
organization. I understand that there is no compensation for volunteer
services at Middleton Public Library. |