Volunteer Application Form

All fields are required.

Name:

Address:

Home Phone:

Work Phone:

E-mail Address:
	(if you do not have an e-mail enter 'NONE' above)

Time commitment (check all that apply):
	Short Term (2 months)	Long Term (2 months)	Regular weekly schedule
	Special projects or events

Hours available (check any applicable boxes for regular weekly commitment, we request at least 2 hours per week):

	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Morning
Afternoon
Evening


Volunteer opportunities (please check your interests):
	Shelving	Inventory	Greeter's Desk
	Book Sale	Special Projects	Homebound Delivery
	Collection Development	Retrieving Books from Shelves	Shelf-Reading
	Sewing/Crafts	Data Entry	Graphics
	Displays	Digital Photography
	Other:

Work experience:

Volunteer experience:


Education (choose highest completed):
	High School	Technical School	Some College
	College (field):

Reference (Not a relative):
Name:
Relationship:
Phone:

Emergency contact:
Name:
Phone:

Funding for this grant was awarded by the Illinois State Library (ISL), a Division of the Office of Secretary of State, using funds provided by the Institute of Museum and Library Services (IMLS), under the federal Library Services and Technology Act (LSTA).

Except where otherwise noted, this work is licensed under the Creative Commons Copyright.

Gail Borden Public Library District, 270 North Grove Avenue, Elgin, Illinois 60120
Phone: 847-742-2411 | Fax: 847-742-0485 | To Renew: 847-742-3210