| Personal Information - For applicants over age 18 ONLY |
|
Name |
First
Middle Name (required)
Last
|
| By what other names have you been known? (include maiden name)
|
|
Address
|
|
Email
|
|
City |
|
State
Zip
|
| Phone |
Day
Evening
|
Best time to call
|
| Birthdate |
(month and day) |
| In case of emergency, please notify: |
|
| Name |
|
Phone
|
| Relationship |
|
Alternate Phone
|
|
| Education |
| Check highest grade completed:
7 |
8 |
9
|
10 |
11 |
12 | College (years or degrees completed)
|
|
Are you currently a student?
Yes
No
|
If yes, which school do you attend?
|
|
Employment |
| Most recent employer
|
Address
Phone
|
| Job Title
|
Full time
Part time Dates
|
|
| Volunteer Interests |
| Why do you want to volunteer?
|
| |
Please check the volunteer assignments that interest you. (Further information on opportunities is listed on the volunteer homepage.) |
Adult Tutor
Adult English Language Conversation Coach at
Forest Home Library
Archives and Special Collections at Central Library
Homework Help Tutor
|
Teen Advisory Board Member (Grades 8-12)
Summer Book Buddy (all libraries)
Early Literacy Through Playing
Miscellaneous (stuffing envelopes, preparing mailings, assisting with
computer classes, etc.)
|
Special Events:
Happy Birthday Dr. Seuss (held in March on a Saturday) - Central Library
Harvest Fest (held in October on a Saturday) - Central Library
Other special events (We will contact you via your email address as opportunities occur.) |
At which library would you like to volunteer? 1st choice
2nd choice
Every effort will be made to match you with your first choice. |
| Please note the days and times you are available: |
|
|
| How did you hear about volunteer opportunities at the library?
|
|
| Skills |
|
|
|
| Reference Information - Personal or professional, e.g. teacher or supervisor. No relatives, please. |
| Name |
|
Address
Phone
|
| Relationship to you:
|
| Name |
|
Address
Phone
|
| Relationship to you:
|
|
| Other |
| If you have ever been convicted of an offense, other than minor traffic violations, list details below. |
| Charge |
|
Date |
|
| Location |
|
Court |
|
| Disposition of Case
|
| Charge |
|
Date |
|
| Location |
|
Court |
|
| Disposition of Case
|
| NOTE: Convictions are not an automatic bar to volunteer placement, but are reviewed in relation to the duties you might perform. This information will be used only for volunteer-related purposes and only to the extent permitted by applicable law. |
|
| Please read carefully before submitting: |
| By submitting this application, I certify that all answers on this application are true and complete. I understand that falsification of this application may result in disqualification from volunteer activities. I authorize the Milwaukee Public Library to make any inquiries about and receive any information about my suitability for volunteer work, including conducting a criminal background check. I give permission to persons contacted to provide such information. I forever waive, release, and covenant not to sue any person or organization for any result of providing, obtaining, or acting upon such information. I understand that such information is sought with confidentiality, and I will not request copies of such information. A copy of this authorization shall be as effective as the original. I further understand that there is no compensation for volunteer services, nor will subsidies be paid for transportation, parking, meals, etc. nor will volutneer service lead to employment with the Milwaukee Public Library. |
|
|