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VOLUNTEER APPLICATION

Name:              ___________________________________________________________________

Address:           ___________________________________________________________________

                        ___________________________________________________________________

Telephone (Home): ________________________      (Business): ____________________________

PERSON TO CONTACT IN CASE OF EMERGENCY:

Name: __________________________________    Phone: _______________________________

MOTIVATION                      EMPLOYMENT STATUS               SKILLS

___ Personal satisfaction           ___ Employed                                      ___ Typing (est. WPM ____)
___ Community service            ___ Unemployed                                  ___ Clerical
___ Skill development              ___ Retired                                          ___ Arts/graphics
___ Internship                          ___ Student                                          ___ Dewey Decimal System
___ Re-entering job market      ___ Homemaker                                  ___ Working with people
___ Enjoy library                      ___ Disabled                                       ___ Audiovisual
___ Other _____________     ___ Other _______________             ___ Other ________________
       __________________            ____________________                    _____________________

EDUCATION (Circle highest grade completed):  6   7   8   9   10   11   12   13   14   15   16   17+

                        Name:                                                  Course of study and/or degree:
High School:     ____________________________    ____________________________________

College:            ____________________________    ____________________________________
                        ____________________________    ____________________________________

MOST RECENT PAID AND/OR VOLUNTEER WORK EXPERIENCE:
Employer name and address: _______________________________________________________
Position description:      ___________________________________________________________
Name and title of immediate supervisor: _______________________________________________
Service dates:  (From) __________________________    (To) ____________________________
Reason for leaving: _______________________________________________________________

REFERENCE (Please list one reference we may contact):

Name:  _________________________________      Phone: ___________________________

WORK ASSIGNMENT PREFERENCES:

Would you prefer to work in a particular area of the library or with a particular service? _____

If yes, please explain: ___________________________________________________________
____________________________________________________________________________

Please describe any work you would not want to do: ___________________________________
___________________________________________________________________________
___________________________________________________________________________

AVAILABILITY (Days and time available): _________________________________________

Regularly each week?   Yes ___  No ___           Regularly each month?   Yes ___  No ___

Would you be available to work:   Evenings?  Yes ___   No ___   Saturdays?  Yes ___   No ___

Is there anything else you would like us to know about you (for example any hobbies, interests, limitations, etc.)? _______________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

I certify that the foregoing information is correct to the best of my knowledge and I understand that inquiries may be made in connection with processing this volunteer application.

Applicant’s signature: ______________________________  Date: ______________________

 

NOTICE TO APPLICANT: Thank you for your interest in serving our community through volunteer work at the Berkshire Athenaeum.  Volunteers are a very important component of our workforce.  Because we rely on our volunteers to enable us to provide the best service possible to the community, we ask that they commit to an agreed upon schedule and give reasonable notice if they are unable to report to work.  Excessive absences make it difficult for us to work efficiently.  If a volunteer must miss work frequently, the library may find it necessary to secure a replacement who is able to be on hand on a more regular basis. 

Volunteer applications are routed to each of the library’s departments to determine if a vacancy exists that matches the skills of the applicant.  Should no vacancy exist at the moment the application is kept on file for at least six months in the event an opportunity should arise at a later date. 

 

________________________________________________________________________

Updated August 2011.  

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Berkshire Athenaeum, Pittsfield's Public Library, Pittsfield, Massachusetts