MIDDLETON PUBLIC LIBRARY - ONLINE VOLUNTEER APPLICATION
 

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.