We are accepting applications for volunteers who reside in our servicing area a minimum of 9 months.

VOLUNTEER APPLICATION FORM

Name *

Mailing Address *

Country

City

State

Zip code

Street Address

If different from mailing address

Country

City

State

Zip code

Cell Phone Number *

Home Phone Number

Email Address *

Birthday *

Residency *

I reside in Maricopa County for 9 or more months every year.

Yes

Special Skills

Limitations

Preferred Volunteer Position

Circulation Desk Volunteer

Bookstore Volunteer

Emergency Contact / Relationship *

Emergency Contact Phone *

Applicant Signature *

UNDER AGE 18

Name

has my permission to volunteer at DFLA

Parent/Guardian Signature

Date

STATEMENT OF CONFIDENTIALITY

On various occasions you may be assisting patrons with written and online registration, as well as tracking reading program progress and prize collection. We ask that you read and check each box:

I agree that I will not share the information that I collect with others and that I will keep each patron’s information confidential.

I agree that the library may publish pictures of me performing work in the library.

I agree that I will not falsify the information of others or change their information without their consent.

Signature *

Date *

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