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Date of Birth: Month
Emergency Contact Name:
Emergency Contact Phone Number:
Do you have any limitations you wish us to know about?
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List any other educational or volunteer experience you
would like us to know about:
At what times are you interested in volunteering?
Please list any times that you are unable to
How did you hear about us?
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Why would you like to volunteer with the Louisville Free Public Library?
Some companies make charitable donations to non-profit organizations if employees retired or active and/or their immediate family members volunteer. If you are volunteering for credit for a school, business or organization, or if you are volunteering on behalf of an organization, please complete the following.
Parent or Guardian's employer: