Volunteer Application

1. Volunteer Application. Please complete this form and click on the submit button at the end. If you have any questions regarding this application please contact Susan at 303-665-5200 x3852

2. Date:*

3. First Name*

4. Last Name*

5. Street Number*

6. Street Name*

7. Street Type

8. Apt #

9. City*

10. State*

11. Zip*

12. Daytime phone:*

13. Evening phone:*

14. Email address:*

15. Your birthday (month/year):

16. Please check all the volunteer jobs you are interested in:*
    1. Computer Coach
    2. General Office Assistant
    3. Homebound Delivery
    4. Lafayette Friends of the Library
    5. Lafayette Kids Ready to Read Volunteer
    6. Homework Center Tutor
    7. Internship/Work Study
    8. Special Events Assistant
    9. Special Projects Assistant
    10. Staff Aide
    11. Summer Reading Program
    12. Other (complete answer below)

17. If you checked "other" above, please fill in the position you are interested in below:

18. Please indicate the group(s) you want to serve:*
    1. Preschoolers
    2. Elementary-aged children
    3. Middle-schoolers
    4. Teens
    5. Adults
    6. Seniors

19. How much time can you volunteer? Please indicate total number of hours per week, or hours per month.*

20. When are you available? Please list the days and times you can volunteer, for example - Mondays and Wednesdays from 3pm to 6pm*

21. Do you have any previous volunteer experience? If yes, briefly tell where you did your volunteer work, what you did, and when you volunteered.*

22. If you are applying for a Homework Helper or Homebound Delivery volunteer position, please list two references and include the following for each: Name, Phone (day and evening), and Relationship.

23. Please complete the following if you are under 18 years of age: Your age, Parent/Legal Guardian's Name, Parent/Guardian's Phone (day and evenings). *Please note: Once you are accepted into the Lafayette Public Library's Volunteer Program, your parent/legal guardian must sign and date this form before any assignments will be made.

24. Briefly describe your education, experience, skills and interests as they apply to the volunteer work you are interested in at the library.

25. By clicking on the "Submit" button, you (and your legal guardians, if applicable) agree to abide by all Library policies and procedures when volunteering.

Leave This Blank:


26. 1. Receive email copy
27. Email address

28. Submit

* indicates a required field