Volunteer Application - Pequot Library

Volunteers at the Pequot Library are essential to the Library’s success. Each level requires a certain commitment, whether it be several hours a week, a few hours a year, or surrounding a major event. The benefits are great: you’ll add to your résumé, learn new skills, and make new friends, all while supporting this unique community treasure.

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone*

Cell Phone*

Email*

Emergency Contact*

First Last

Relationship

Home Phone*

Cell Phone*

Email

I'm interested in...

When can you volunteer?

Weekly
Monthly
As needed
Event Related

Tell us more about yourself:

Are you a Friends of Pequot Library member?*

Yes
No

Why are you interested in volunteering at Pequot Library? Have you been involved with the Library before?

Tell us about any other volunteer experiences you may have had. Please list the organizations, type of volunteer work, and length of time you volunteered?

Do you need to fulfill community service hours? If yes, why and how many?

Have you ever been arrested or convicted of a crime? If yes, please explain.

References

Please list two references from previous employment or volunteer experience.

Reference #1: Name*

First Last

Phone*

Email*

How long have you known him/her?

What is your relationship?

Reference #2: Name*

First Last

Phone*

Email*

How long have you known him/her?

What is your relationship?

I give Pequot Library permission to contact the above references.

Yes

I certify that the statements made in this volunteer application are true and correct, and have been given voluntarily. I understand that, while Pequot Library does not sell or share lists of members of volunteers, my information may be given to appropriate Trustees, Event Chairs, or Staff members. I understand that I will not be paid for my services as a volunteer.

Applicant's Signature*

First Last

By signing this form, I understand that anyone in my party may be photographed and that imagery may be used for publicity purposes for Pequot Library programs.

Date*