Submitted by zack on January 26, 2018 - 9:08am Name * Email * Phone number * Street Address Mailing Address (if different) City Market Member Worker Number (if you are a registered Member Worker with City Market, you can earn credit for volunteering at FFL! Please leave this field blank if you are not a member worker.) I affirm that I am 18 years old or older Yes No Date of Birth * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year19231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Year Emergency Contact Name Relationship Emergency Contact Phone Number Which library are you interested in volunteering at? Downtown Library New North End Library Which department would you like to work in? Circulation/Adult Youth Area Teen/Tween Outreach Which Volunteer Position(s) are you interested in? Materials Shelver/Organizer Materials Repair & Maintenance Preparing Materials for Circulation Custodial Assistant Outreach Program Assistant Programming Assistant Fundraising Assistant Other At what times are you interested in volunteering? Education Background Current Occupation Hobbies, interests, skills Volunteer Experience Do you have any medical condition that should be considered in assigning you work? Yes No Reference #1 Name Reference #1 Phone Number Relationship Employer Family Friend Reference #2 Name Reference #2 Phone Number Relationship Employer Family Friend How did you hear about volunteering at the Library? Leave this field blank Submit
