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City of Lafayette


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Volunteer Application

Please complete this form.  To send this electronically, click on the Submit button at the end of the form.  If you have any questions regarding this application, please contact Susan at 303/665-5200, ext. 3852.
 
* Date 
* Name 
* Address 
* City 
* Zip 
* Phone,daytime (do not use dashes when entering number) 
* Phone, evening (do not use dashes when entering number) 
* Email Address 
Your Birthday (month/day) 
* Please indicate the volunteer jobs you are interested in:Book Mending Bee Computer Coach General Office Assistant Homebound Delivery Lafayette Kids Ready to Read Volunteer Homework Center Tutor Internship/Work Study Special Events Assistant Special Projects Assistant Staff Aide Summer Reading Program Other: _____________________________ 
* Please indicate the group(s) you want to serve:Preschoolers Elementary-aged children Middle-schoolers Teens Adults Seniors 
* How much time can you volunteer? Please indicate total number of hours per week, or hours per month. 
* When are you available? Please list the days and times you can volunteer, for example - Mondays and Wednesdays from 3pm to 6pm. 
Do you have any previous volunteer experience? If yes, briefly tell where you did your volunteer work, what you did, and when you volunteered. 
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), Phone (night), and Relationship.  
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 Parent/Guardian's Phone (evening). *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. 
Briefly describe your education, experience, skills and interests as they apply to the volunteer work you are interested in at the library. 
 
By clicking on the "Submit" button, you (and your legal guardians, if applicable) agree to abide by all Library policies and procedures when volunteering.
 
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