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Volunteer Application Form

Minimum Age to Volunteer: 14

Name: Date:

(First) (Last)
Address (include street, city, and zip code):


Home Phone: Cell phone:


Are you willing to make a standard commitment? The Library asks volunteers to commit to at least
two hours per week for at least six months. Yes No
If no, what would be your commitment?_________________________________________________

If you are a student (under 18), please complete the following information:
1. What school do you attend?__________________________ 2. Grade?___________________
3. Birth date? _____________________ 4. Are you volunteering to fulfill a community service
requirement? Yes No 5. How many community service hours do you need? __________

How did you learn about volunteer opportunities at the Palo Alto City Library? (Please check all that

Inquired at the Library From a friend Saw a flyer Saw a newspaper ad
Saw Enjoy catalog ad From a high school list Other __________________________

Preferred work location(s) (Please indicate priority 1, 2, 3, etc.):

( ) Childrens ( ) College Terrace ( ) Downtown ( ) Main ( ) Mitchell Park

Preferred work days (Please indicate priority 1, 2, 3, etc.):

( ) Sun. ( ) Mon. ( ) Tues. ( ) Wed. ( ) Thurs. ( ) Fri. ( ) Sat.

Preferred work shifts (Please indicate priority 1, 2, 3, etc.):

( ) 9 a.m. to noon ( ) Noon to 3 p.m. ( ) 3 p.m. to 6 p.m. ( ) 6 p.m. to 9 p.m.

Please indicate your skills and interests by checking the boxes (Not all assignment preferences may
have open shifts):
graphic design homework help office support
organizing events data entry speak Spanish
speak Chinese speak?___________ computer aide
shelving/sorting materials homebound program
tax assistance (during tax season) assist with special events
weekday assistant reference staff aide
branch library aide technical services staff aide
advanced writing skills art skills other? ___________________

Why are you are interested in volunteering at the Palo Alto City Library?

Current and past employment and/or volunteer (clubs, church, sports, PTA, etc.) experience (students
may list clubs and sports that they have participated in):

Position/title: Dates:


Brief description of duties:

Position/title: Dates:

Employer/Agency/School: ___

Brief description of duties:

Physical Restrictions: Please list any physical restrictions that you have.__________________


Please provide two references:
Personal reference (or work related reference):
1) Name: Relationship:

Phone: Email:

Work related/employment/volunteer agency reference (students may use teachers):
2) Name: Relationship:

Phone: Email:

I understand and agree that (as a volunteer who is 18 years or older) I will be required (before
placement in a volunteer position) to have a Live Scan Fingerprint check (at no cost). I authorize
investigation of all matters contained in the application. I acknowledge that there is no salary or other
compensation for my services as a volunteer. I certify that the information provided above is accurate.

Signature: Date:

Signature of parent or guardian:
(Required if applicant is under age 18)

Thank you for your interest in volunteering at the Palo Alto City Library. Once your application form
has been processed, you will be contacted by a member of the staff.


A Department of the City of Palo Alto December 2011