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Local Information

Address: ________________________________________________________

City: _____________________State: ____________ Zip__________________

Phone Number: Home_________________Work _________________________

Birthday ___________________ Grade Level ___________________________

Emergency Contact Person _________________________________________________________________

Home # ___________________________ Work #________________________

Cell phone # ________________________ Pager # _______________________

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

__________________________________________________________________

Have you participated in the Summer Reading Club in the past?______
As a Volunteer?_______
Additional Skills:

Volunteer Description/Agreement

Purpose: To enhance the service to library patrons

Principal Duties:
1. Attend training for this position.
2. Adhere to library policies.
3. Record Volunteer hours in the Volunteer Notebook.
4. Arrange your volunteer hours in two hour shifts with the volunteer supervisor.
5. Call when you will not be able to volunteer at your regularly scheduled time.
6. Arrive at library on time and dressed appropriately, neat and clean.
No open toed shoes, short shorts, or exposed midriffs.
7. Be willing to ask questions when in doubt.
8. Tell the volunteer supervisor when you finish a task or when a task is incomplete.
9. If friends visit, tell them you are busy but will call them later. Send them to the information desk if they need help.
10. Schedule someone to pick you up or bring money for the pay phone.

Yes, the City of Lancaster, Lancaster Veterans Memorial Library, and/or LSSI, Inc. has my permission to use photographs, videotapes, and/or electronic images of my child for public relation purposes, which may include publication in scrapbooks, bulletin boards, and/or website.

No, I do not give permission to the City of Lancaster, Lancaster Veterans Memorial Library, and/or LSSI, Inc. to use photographs, videotapes, and/or electronic images of my child for public relation purposes.

My child, __________________________ has my permission to volunteer at the library.

__________________________________________ _______________
Parent or Guardian’s Signature                               Date

Volunteer Position ___________________________________________

I accept this position: ________________________________________________
                                Volunteer                                  Date

Appointed by: _______________________________________________________
                      Volunteer Supervisor                             Date