Teen Volunteer Application

Thank you for your interest in volunteer opportunities at the Jean Waterloo Lenox Township Library. The following information is confidential and intended only for the use of the Jean Waterloo Lenox Township Library and its employees. Information will not be released except as required by applicable state or federal law.

All volunteer opportunities will take place during approved library business hours and must be coordinated with and approved by the Youth Services Librarian, Casee Talley-Hill.

Basic Information

Name (required)

Date (required)

Home Address (required)

City (required)

Zip (required)

Home Phone (required)

Cell Phone

Graduation Year (required)

Volunteer Information

Type of Volunteer Position

Number of hours you need to complete

When do you need the hours completed

Do you want to volunteer on an ongoing basis

Additional Comments:

Emergency Contact:

In case of an emergency, please call (required)

Phone number (required)

Parental Permission (for applicants under the age of 18 years old)

As the parent or legal guardian of the above-named minor child, I grant my permission for said child to volunteer at the Jean Waterloo Lenox Township Library

Decline

Parent/Legal Guardian Signature

Date

Volunteer Signature

I certify that the answers provided in this application are true and complete to the best of my knowledge. My volunteer service is conditional upon completion of this application, obtaining a work permit, and completion of tasks assigned by the Jean Waterloo Lenox Township Library staff. I am offering my services as a volunteer. If my offer is accepted, I will not be entitled to compensation for any services I provide. (required)

Decline

Your Signature (required)

Date (required)

Photo Release

I grant the Jean Waterloo Lenox Township Library the right to use photographic images/videos/audio recordings of me that are made by the Jean Waterloo Lenox Township Library or other parties during my volunteer work. (required)

Decline

Volunteer Signature

Parent/Legal Guardian Signature

Date

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