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Volunteer Program
Volunteer Application
Volunteer Application
Application Date
(required)
Volunteer Position Sought
Name
(required)
Home Address
Work Phone
Home Phone
(required)
Email
(valid email required)
Education
Highest Level of Education
Employment
Position/Title
Dates of Employment:
Starting
Ending
Company/Employer
Address
Would you like us to keep your employer abreast of your volunteer service and achievement?
Yes
No
Special training, skills, hobbies
Groups, clubs, organizational memberships
Please describe your prior volunteer experience (include organization names and dates of service)
What experiences have you had that may prepare you to work as a volunteer?
Why do you want to volunteer? [What do you want to gain from this volunteer experience?]
Have you ever been convicted of a crime? [If yes, please explain the nature of the crime and the date of the conviction and disposition.] Conviction of a crime is not an automatic disqualification for volunteer work.
Please indicate what days of the week and times you're interested in working. A more formal schedule will be created after your interview.
Availability:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Do you have any other commitments that may interfere with your availability?
Do you have any allergies or disabilities? Please list them so we can accommodate accordingly.
How did you hear about our volunteering opportunities?
Whom should we contact in case of an emergency?
1) Contact Name
(required)
Relationship
Phone
(required)
2) Contact Name
Relationship
Phone
Please list at least two references and contact information from either your volunteer work or employment.
Reference
Reference
I certify that the statements made in this volunteer application are true and correct, and have been given voluntarily. I understand that this information may be disclosed to any party with legal and proper interest, and I release Bridgeport Public Library from any liability whatsoever for supplying such information (Please note BPL does not release lists of lists of volunteers.) I understand that I will not be paid for my services as a volunteer. Furthermore, I will not hold the Bridgeport Public Library liable for any injury resulting from carrying materials as I do so out of my own free will.
I agree
Burroughs & Saden Branch
925 Broad Street
Bridgeport, CT 06604
(203) 576-7403
Hours:
Mon - Thu: 10 - 8 pm
Frid- Sat: 10 - 5 pm
Sun: CLOSED
Contact
Burroughs & Saden Branch
Friends Board Meetings
2nd Thursday of the month @ 7:00 pm
News & Events
Lifeline for the BPL
The Bridgeport Public Library Board of Directors Seeking Applicants
Friends of the Library Monthly Meeting
2009-10 annual report to the community
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