2. General Information

4. First Name*
5. Middle Name
6. Last Name*
8. Address
10. City
11. State
12. ZIP Code
14. Phone Number*
15. Email Address*
17. 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
19. Secondary Library Branch
    -- Select One --None, I am only interested in volunteering ar my preferred library branchHardwood Creek Library, Forest LakeLake Elmo LibraryOakdale LibraryPark Grove Library, Cottage GroveR.H. Stafford Library, WoodburyValley Library, LakelandWildwood Library, Mahtomedi
21. Pronouns
22. Preferred Name
23. Graduation Year*
25. Emergency Contact
26. Emergency Contact Phone Number
28. Will your volunteer hours be used to satisfy hour requirements for a club, group, or class? If yes, please complete the following:
30. Club, Group, or Class?
31. Number of Hours Needed?
32. Deadline?

    Month/Day/Year

36. 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.

38. Preferred Time Commitment*
    -- Select One --Regular shifts for less than 6 monthsRegular shifts for 6-12 monthsVolunteering at large events only
40. When are you available? Please mark all that apply:*

    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

42. We count on volunteers to perform important work. If you sign up for a volunteer shift, we expect you to arrive on time and work the house your agreed to, unless there are exceptional circumstances. Please make sure you have transportation and don't have any scheduling conflicts before you commit to a shift.

46. Experience and Background

48. Please list skills, interests, and special knowledge you have which might be beneficial to the library:
50. Do you have any restrictions?*
    -- Select One --YesNo

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

51. If Yes, please explain.
53. 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.
55. 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.
57. 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:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field