Adult Volunteer Form

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Please complete the form below so that we can discover more about you, your interests, your skills, and your intentions in volunteering with us.

First Name *

Last Name *

Street Address *

City *

State *

ZIP *

Phone *

Email Address *

Emergency Contact *

Emergency Contact Phone *

How did you hear about the volunteer program? *

Which branch are you interested in volunteering at?BrosvilleChathamGretnaMt HermonPlease select one.

Availability *WeeklyPeriodically (on call)Summer onlySchool year only

When can can you start? *

Please indicate days and times you are available

MondayMorningAfternoonEveningNot availableSelect all that apply

TuesdayMorningAfternoonEveningNot availableSelect all that apply

WednesdayMorningAfternoonEveningNot availableSelect all that apply

ThursdayMorningAfternoonEveningNot availableSelect all that apply

FridayMorningAfternoonEveningNot availableSelect all that apply

SaturdayMorningAfternoonEveningNot availableSelect all that apply

What would you like to do while volunteering with us? *Book SalesAssist with Children’s ProgramsAssist with Special EventsShelf maintenanceMailings and surveysShelvingOther (please list)Please select all that apply

Other interests

Do you feel you have any physical limitations or health problems that might affect your work at the Library? If yes, please explain.NoYes

Please explain

Please share any relevant prior experience and/or work history:

Please list three personal references and their phone numbers: *

Consent *

By checking the box, I agree to abide by the PCPL volunteer policies and procedures.

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This site is made possible by a grant from the U.S. Institute of Museum and Library Services. It is managed by the The Library of Virginia Library Development and Networking Division.