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2. 
4. Name
5. Age
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
14. Email Address
16. School Attending
17. # of hours needed
18. Start Date
    Start Date
19. Completion Date
    Completion Date
21. Reason for Volunteering
22. Is this court ordered community service?

    -If yes, all court papers must be uploaded to the library before the Library Director will consider allowing the person to complete hours at the library.

    1. Yes
    2. No
23. Upload court papers here
25. Please list any special skills (ex. Artisic, computer, music...)
27. Days Available

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday

    Please select the days available to volunteer
29. Emergency Contact
30. Relationship
32. Phone Number
33. Alternate Phone Number
35. -The Library Reserves the right to terminate any volunteer at any time.
37. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
39. Electronic Signature
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field