Fill - Free fillable Thank you for your interest in volunteering at (Columbia Gorge Community College) PDF form

Please note that volunteers must be a minimum of 15 years of age.

Thank you for your interest in volunteering at the St. Helens Public Library!

Please provide the following information:

Name: __________________________________________________________________

Street Address: ____________________________________________________________

City, State and Zip: ______________________________________________________

Mailing Address (if different): ________________________________________________

City, State and Zip: ______________________________________________________

Phone Number: _____________________ Alt. Number: ________________________

Email address: ____________________________________________________________

May the Library contact you by email regarding your application? Yes ☐ No ☐

How long do you anticipate being available to volunteer?

☐ 3 Months ☐ 6 Months ☐ 1 Year ☐ On-going ☐ Other ___________________

Which days / hours would you be being available for volunteer service?

______________________________________________________________________________

375 South 18th Street, Suite A, St. Helens, Oregon 97051 -- (503) 397-4544

VOLUNTEER APPLICATION

PART 1

RESET

Name: ______________________________

St. Helens Public Library – Volunteer Application – Version 092916 Page 2 of 4

Please provide the following information (use page 4 if more space is needed):

To help the Library get to know you better, please list some activities that you

have experienced and enjoyed:

______________________________________________________________________________

Briefly summarize your educational background:

______________________________________________________________________________

Why do you want to volunteer at the St. Helens Public Library?

______________________________________________________________________________

Have you volunteered at a library or other organization before? ☐ Yes ☐ No

If yes, please describe your experience (i.e. how long, reason for leaving, etc.):

______________________________________________________________________________

PART 2

Name: ______________________________

St. Helens Public Library – Volunteer Application – Version 092916 Page 3 of 4

Have you ever been convicted of a crime? ☐ Yes ☐ No

If yes, please give the date, nature of the offense(s) and disposition (do not

include traffic violations or sealed and / or annulled cases):

______________________________________________________________________________

I certify that I have answered truthfully and have not knowingly withheld

information relative to my application. I agree and understand that any

misrepresentation or omission that becomes known to the St. Helens Public

Library may result in immediate dismissal. I acknowledge that if I am selected

to volunteer it will be without compensation or the promise of future

employment or compensation.

Signature: ____________________________________________ Date: ____________

Please submit completed application to:

Volunteer Coordinator

St. Helens Public Library

375 South 18th Street, Suite A

St. Helens, Oregon 97051

PART 3

Name: ______________________________

St. Helens Public Library – Volunteer Application – Version 092916 Page 4 of 4

Please use this page if more space is needed.

______________________________________________________________________________

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