Volunteer Application Form

Name

First NameLast Name

Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

Adult (18 and over)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Which Branch would you volunteer:

Days of Work

Time of Day Preferred (Not exact shifts)

Volunteer Activities that interest you:

Volunteers are not eligible to conduct storytimes or any tasks that are completed by GCPL staff.

How often do you wish to volunteer with Geauga County Public Library

How many hours are needed?

What is the due date for completion of your volunteer hours?

*Court Ordered Volunteer Restrictions - misdemeanor or felony convictions that involved violence, sexual offenses, theft, and burglary.

Parole Officer Name

First NameLast Name

Parole Officer Email

example@example.com

Parole Officer Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Skillsets or Area of Interests

Emergency Contact

First NameLast Name

Phone Number

Format: (000) 000-0000.

Comments

The library reserves the right to screen all volunteers for aptitudes, schedule availability and preferences before being placed in available opportunities. Volunteers are placed on best fit and not all prospective volunteers will be accepted.

I understand that my services are being offered on a voluntary basis without anticipation of financial remuneration and hold harmless Geauga County Public Library from and against all claims, demands, loss of liability of any kind or nature with regards to any possible injury incurred during service.

I understand that all adult volunteer assignments require an Ohio Sexual Offender Registry check and also for any volunteer that deliver ABC collections, a Motor Vehicle Record check. Volunteers are not covered by GCPL Bureau of Worker's Compensation or vehicle insurance plans. Background checks not required for minors.

Signature

I give permission for my child to volunteer at Geauga County Public Library. I understand they will be expected to follow library policies, follow the schedule to which they have committed, and communicate respectfully with staff and the public.

Parent/Guardian Name

First NameLast Name

Parent/Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Parent/Guardian Signature