Volunteer Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Date of Application *Name *FirstLastAddress *Phone *Email *Emergency Contact Name you'd the Contact Emergency Contact RelationshipEmergency Contact PhoneHave you ever worked in a library before? *YesNoDo you have a library card? *YesNoAre you seeking hours for court appointed community service? *YesNoIf yes, please complete the next 4 fields.Number of court appointed community service hours assignedNumber of court appointed community service hours you'd like to serve at the LibraryDate your court appointed community service needs to be completed byDo you need written confirmation of court appointed community service hours served?YesNoAre you under 18 years of age? *YesNoIf yes, what is your date of birth?If yes, are you seeking community service hours for school or other organization?YesNoIf yes, please complete the next 3 fields and have your parent or guardian sign the application.Number of community service hours neededDate your community service needs to be completed byReason for community serviceList your interests and skills *Days and times you're available *Checkboxes *I have read and agree to the following: *I understand that the LaGrange Library has the right to evaluate all applicants and will not accept a volunteer that would jeopardize the materials and services of the library or the safety of the library staff and patrons. I understand that as a LaGrange Library volunteer I may come in contact with confidential information. I agree to protect this information in compliance with the New York State Civil Practice Law and Rule 4509 and will not divulge any information during or after my services as a volunteer. I agree to abide by all library policies and understand that as a library volunteer I am a representation of the library and must portray a positive image at all times. Applicant's Signature *Date Signed by Applicant *Parent's or Guardian's SignatureDate Signed by Parent or GuardianSubmit
