Guthrie Public Library

Youth Volunteer Application

Name: ________________________________ Date: ______________________________

Address: ______________________________ Phone #: ___________________________

City/Zip: ______________________________ Best time to call: ____________________

Age: _____________ Grade: ____________ School: ____________________________

Do you have any allergies or a medical condition that would impact your volunteer services?

Yes _____ No _____ If yes, please explain: ___________________________

______________________________________________________________________________

Activities and/or hobbies: ______________________________________________________

Preferred Reading: ____________________________________________________________

Days or hours available: _______________________________________________________

[Note: Guthrie Public Library is open M/W/F 9-6; T/Th 9–8; Sat 9 – 1]

For how many hours per week do you wish to volunteer? (Please check one.)

_____ 1 – 2 _____ 3-5 _____ 6 – 10

Persons to be Called in Case of Emergency

Name: _____________________________ Name: _____________________________

Home Phone: _______________________ Home Phone: _______________________

Work Phone: _______________________ Work Phone: _______________________

Thank you for your interest in the library!

______________________________ ______________________________

Parent’s Signature Applicant’s Signature