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Volunteer Application ____________________________________________________________

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?

If court ordered community service, what is the reason and how many hours are needed?

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:
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Time
How did you hear about volunteer opportunities at the library?

Skills

Please check all with which you are familiar: (a box must be checked to continue processing the application)
None at this time | PCs | Macs | Microsoft WORD | Microsoft EXCEL | Microsoft ACCESS | Internet Explorer

What language other than English do you:
Speak?
Read? Write?

What special interests and/or skills do you have that may help us to match you with the best volunteer assignment?

Efforts will be made to reasonably accommodate volunteers with disabilities. Please specify what accommodation(s) you are requesting.


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.