Volunteer

ADULT VOLUNTEER APPLICATION
CONTACT INFORMATION








EMERGENCY CONTACT INFORMATION








REFERENCE INFORMATION

Please list two references, either work or personal (exclude family members).













AGREEMENT

I certify that the statements made in this volunteer application are true and correct, and have been given voluntarily. I understand that this information may be disclosed to any party with legal and proper interest, and I release Samuels Public Library from any liability for supplying such information. I understand that Samuels Public Library reserves the right to screen volunteers, to accept or reject any applications, and to place applicants in specific locations and positions based on the needs of the Library. I understand that I will not be paid for my services as a volunteer and I am giving my time freely to the Library. I understand that my volunteer service may end at any time for any reason with or without cause and with or without notice.

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