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Local Information

Name: __________________________________Date_______________

Address: ___________________________________________________

City: ______________________State: _________ Zip______________

Phone Number: Home________________Work ____________________

Birthday (Optional) __________________________________________

Emergency Contact Person ____________________________________

Home # _____________________ Work #________________________

Education: __________________________________________________

Employment experience (briefly describe: _________________________

____________________________________________________________

Have you done volunteer work before? _______ If yes, what type?

_____________________________________________________________

How did you hear about the Library’s volunteer program? ______________

Applying for volunteer position as _________________________________

Additional relevant skills/experience:

______ Previous library work ______ Data processing/computer work

______ Storytelling ______ Typing/ word processing

______ Arts and crafts ability ______ Knowledge of audio-visual equipment

______ Knowledge of foreign language: If yes, which one(s)? ___________________________

______ Other special skills/experience: _____________________________________________

_____________________________________________________________________________

Please Note: Training is required and scheduled at convenience of trainer and volunteer. If you have any questions about LVML’s volunteer program, please call the Volunteer Coordinator at 972-227-1080 ext. 20.