Brighton District Library- Volunteer Application

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Application to Volunteer at the Library
Volunteer Information

If you are under 18 please fill out our Teen Volunteer Application form. Please call Diana Dart, Community Relations, at 810-229-6571, x211 if you have any questions.

Name:
Address:
City:		Zip:
Phone (home):		Phone (work):
Email:
Date of Birth (optional)
Name of Company (if working outside the home):
In case of emergency, notify:	Name:		Relationship:
	Phone (home):		Phone (work):
I am a (check all that apply):	High school student \| College student
	Adult \| Senior \| Parent
I am seeking this volunteer position:
	To fulfill court-ordered Community Service
	To satisfy school/class/scholarship Community Service requirements
	To become a regular volunteer
Do you have any physical or health restrictions? (Please specify)

Have you ever been convicted of a crime?	Yes No
If yes, please state the crime(s) you were convicted of and explain the date, location, nature and facts surrounding each conviction.

The area(s) in which I have experience and would like to volunteer my time are:

Administrative:

General Clerical
Mailings
Community Information Coordinator

Marketing & Programming

Special Events
Press Releases
Publications Design
Newsletter Editor

Adult Programs
Teen Programs
Storytime/Crafts Helper
Summer Reading Programs

Library Services:

Shelf Reading
Local History Materials Processing
Materials Processing

Genealogy Helper/Trainer
Newspaper Indexing (on computer)
Outreach

Library Maintenance:

Gardening & Yard Work
Meeting rooms set-up & take down

Children's Garden
Handyman

Please describe any previous employment, volunteer work, educational experience, special skills, languages, or training that you feel is relevant to your interest in volunteering with Brighton District Library:

Available Times:
Make sure to indicate whether the time is am or pm, and a beginning and ending time.

	from what time - to what time
Monday:
Tuesday:
Wednesday
Thursday:
Friday:
Saturday:
Sunday:

Please list two people (not related to you) that we may contact as references:

Name:	Position:	Phone:
Name:	Position:	Phone:

Why do you want to be a volunteer?

How did you hear about us?

Are you a library patron?
Yes
No

Applicants are considered for volunteer positions without regard to race, religion, sex, national origin, disability and other characteristics protected by law.

I hereby certify that the information set forth in this application is true and complete to the best of my knowledge. I understand that if I am contacted to become a volunteer for the Brighton District Library I will be asked to present a valid form of identification during the initial interview and to sign a copy of the Code of Ethics. I further understand that falsified statements made on this application shall be considered cause for removal from the program.

I certify
I do not certify

Once you have submitted this application, you will be contacted for an interview to match your skills and interests with volunteer jobs at the Library. Thank you for applying at the Brighton District Library!