Please take a moment to fill out this interest form--we will get back to you by phone or e-mail.

Volunteer Name:*

Telephone Number:

Address:

E-mail Address:

Emergency Contact (name & phone):

List any special interests, employment or hobbies that you would like us to know about:

Please take a moment to look over some volunteer opportunities at the library. Check off those that may interest you:

Circulation Support (shelving, straightening) Friends of the Library (book store, book sale) Programming Support (i.e. Summer Reading)

Special Events Support (hosting) Building/Facility (gardening, dusting)

Do you have skill or idea for the library that you would like to talk with us about:

Do you want to volunteer on a regular basis or occasionally?

Regular-1-4 times a month

Occasionally-events as needed

Would you like to tell us about prior volunteer experience?

Please read the following and add your initials and the date to verify.

I hereby certify that I have answered truthfully and have not knowly withheld any information relative to my application. I agree and understand that any misstatements or material omissions which becomes known to the Campbell Library may result in my immediate dismissal. I agree that I will work within my assigned areas of responsibility without any monetary compensation, and be subject to workers' compensation coverage while on the job. I will follow the lawful directions of my assigned supervisor while working for the Campbell Library and will follow and be bound by the Policies & Procedures of the Campbell Library to the same extent as paid employees of the city.

Please initial and date:*