2. General Information

4. First Name*
5. Middle Name
6. Last Name*
8. Address
10. City
11. State
12. ZIP Code
14. Phone Number*
16. Email Address
18. Pronouns
19. Preferred Name
21. Emergency Contact
22. Emergency Contact Phone Number
24. Preferred Library Branch*
    -- Select One --Hardwood Creek Library, Forest LakeLake Elmo LibraryOakdale LibraryR.H. Stafford Library, WoodburyPark Grove Library, Cottage GroveValley Library, LakelandWildwood Library, Mahtomedi
26. Secondary Library Branch
    -- Select One --None, I am only interested in volunteering at my preferred library branch.Hardwood Creek Library, Forest LakeLake Elmo LibraryOakdale LibraryPark Grove Library, Cottage GroveR.H. Stafford Library, WoodburyValley Library, LakelandWildwood Library, Mahtomedi
28. Have you been convicted for a violation of the law other than a minor traffic ticket?
    -- Select One --YesNo
29. If Yes, Please Explain

33. Time Commitment

    Please indicate how long you would like to commit to volunteering at Washington County Library and what kinds of volunteer opportunities you're interested in. Special projects may be available for less than a six-month commitment.

35. Preferred Time Commitment*
    -- Select One --Regular shifts for less than 6 monthsRegular shifts for 6-12 monthsVolunteering at large events onlyShifts for community service
37. When are you available?*

    1. Sunday afternoons
    2. Monday mornings
    3. Monday afternoons
    4. Monday evenings
    5. Tuesday mornings
    6. Tuesday afternoons

    1. Tuesday evenings
    2. Wednesday mornings
    3. Wednesday afternoons
    4. Wednesday evenings
    5. Thursday mornings
    6. Thursday afternoons

    1. Thursday evenings
    2. Friday mornings
    3. Friday afternoons
    4. Saturday mornings
    5. Saturday afternoons

41. Work Experience and Relevant Skills

43. Work Experience

    Please list past work experience, including volunteer work. Highlight any experience that you feel might be applicable to library work. 

45. Other Skills

    Please list other skills and special knowledge or education you have which might be beneficial to the library.

47. Interest in Volunteering

    How do you feel volunteering fits with the library mission: "Inspire curiosity. Champion innovation. Spark opportunity."?

49. Do you have any restrictions?*
    -- Select One --YesNo

    Medical condition or physical restriction that limits your ability to perform certain tasks without reasonable accommodation.

50. If Yes, please explain.

54. References

    Please list two employers, supervisors, teachers, or other non-relatives we may contact for a reference.

56. Reference Name
57. Reference Occupation
58. Reference Phone Number
60. Reference Name
61. Reference Occupation
62. Reference Phone Number
64. I certify that all statements made on this application are true, complete and correct to the best of my knowledge and belief. I understand these statements are subject to verification. I understand that falsification of this application will disqualify me from selection or result in dismissal.*
    -- Select One --I agree.I disagree.

66. Washington County will not discriminate against or harass any volunteer or volunteer applicant because of race, creed, religion, national origin, sex, mental or physical disability, age, marital status, or status with regard to public assistance, sexual orientation, familial status or politics.

68. Tennessen Warning for Volunteers

    This application is to assist in the process of referring you to the Washington County Library for a possible position as a volunteer. Certain information requested on the application is private, that is, it may be released only to you or the Washington County Library.

Leave This Blank:


70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit

* indicates a required field