Volunteer Application Form (PDF)

09/2021 
PLEASE BRING COMPLETED FORM TO THE LIBRARY 
WATERFORD PUBLIC LIBRARY 
 
Volunteer Application 
 
Volunteers are accepted according to their skills and the current needs of the Library. 
If there are no openings at the time you apply, your application will be kept on file for future opportunities. 
Our volunteer policy follows state regulations regarding employment of minors age 14-17. 
 
GENERAL INFORMATION 
Date of Application: 
Last Name :                                                                 First Name:                                                     M.I. 
Street Address:                                                                                                                                 Apartment/Unit #: 
City:                                                                           State:                                                             ZIP: 
Cell phone:                                         Other phone:                                           Email: 
Why are you interested in volunteering at the Library? 
 
 
 
AVAILABILITY  -  Circle all that apply 
 
                                                                         Summer:                                                  During School Year: 
Monday                                               morning / afternoon / evening                                 afternoon / evening 
Tuesday                                              morning / afternoon / evening                                 afternoon / evening    
Wednesday                                          morning / afternoon / evening                                 afternoon / evening 
Thursday                                             morning / afternoon / evening                                 afternoon / evening 
Friday                                                  morning / afternoon / evening                                 afternoon / evening 
 
CERTIFICATION 
Are you under 18 years of age?  ___Yes    ___No        If Yes, state your date of birth:  Month____________ Day_____ Year______ 
Applicant Signature: 
 
FOR LIBRARY USE ONLY 
Date of Interview:                                      __Phone      __ In Person                     Volunteer status:     Adult 
Start Date:                                                End Date:                                                                         WHS Learning Through Service 
Total LTS Hours:                                       (Reported:                          )                                             Other 
Notes:                                                                                                                                               
                                                                                                                    
                                                                                                                                                        
Volunteer Coordinator:                                                                                            Date: