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2. PERSONAL INFORMATION
4. First Name*
5. Middle Name
6. Last Name*
8. Address*
9. Date of Birth*
   Date of Birth
11. City*
12. State*
13. Zip Code*
15. Cell Phone Number*
16. Home Phone Number

    If different from cell phone.

18. Email Address*
19. # of Hours Needed*

    How many volunteer hours do you need to complete? If there isn't a required amount, what is your preferred amount?

21. Date Hours Assigned
    Date Hours Assigned

    Please complete if applicable.

22. Date Hours Due
    Date Hours Due

    Is there a deadline by which your volunteer hours need to be completed? 

24. Reason for Volunteering*

    1. School Club/Scholarship
    2. Community Organization

    1. *Court Appointed
    2. Other
26. *Court Appointed Volunteers will need to complete the "Court Appointed Only" section at the end of the application.
30. EMERGENCY CONTACT

    Who should we contact in case of an emergency?

32. Emergency Contact First Name*
33. Emergency Contact Last Name*
35. Relationship to You*
36. Emergency Contact Phone #*
40. REFERENCE INFORMATION

    Please provide the name and contact for someone who can provide a reference for you.

42. Reference Type*

    1. Personal

    1. Professional

    Please list a professional reference if possible.

44. Reference First Name*
45. Reference Last Name*
47. Reference Phone #*
48. Reference Email Address*
52. AVAILABILITY
54. Library Hours

    The library accepts volunteers during most open hours with the exception of Sundays. These days/times include: Monday-Wednesday from 9 a.m. to 7 p.m.; Thursday from 9 a.m. to 9 p.m.; Friday from 9 a.m. to 6 p.m.; and Saturday from 9 a.m. to 4 p.m.

56. List of Days and Times You're Available*

    Please note that we typically assign volunteers for two hour sessions.

60. *COURT APPOINTED ONLY

    Only volunteers applying to volunteer for court appointed volunteer service need to complete this section. Please note that there are certain charges the library will not accept. You can review the library's community service volunteer policy for more details.

62. Why Are You Doing Court Appointed Service?
64. Please provide the following details if applicable.
66. Case Number
67. County & State of Court
68. Presiding Judge
70. Have you ever been convicted of any crime?

    Excluding convictions that have been sealed, expunged, or legally eradicated, or misdemeanors for which probation was completed and the case was dismissed by the court.

    1. Yes

    1. No
72. If YES:
74. Year
75. County & State of Court
76. Nature of That Conviction
78. Other Agencies?

    Are there other agencies where you are performing or have performed community service hours for this offense?

79. Hours Completed So Far?
81. Reason for Discontinuing Service at Other Agency?
83. Required Documents

    The library requires a copy of your photo I.D. and a copy of the court issued judgment and sentence order. If hours are being completed prior to disposition, please attach a copy of your information filed with a district court or a copy of the ticket issued by a municipal court. You can also bring the documents to the library's Adult Help Desk, however, we cannot process your application or schedule hours without the required documentation.

85. Photo I.D.
86. Court Issued Judgment/Sentence Order
Leave This Blank:


87. 1. Receive an email copy of this form.
88. Email address

    This field is not part of the form submission.

89. Submit

* indicates a required field