Date of Birth: Month
Emergency Contact Name:
Emergency Contact Phone Number:
Do you have any limitations you wish us to know about?
Check all that apply to you.
List any other educational or volunteer experience you
would like us to know about:
Some companies make charitable
donations to non-profit organizations if employees retired or active
and/or their immediate family members volunteer.
Parent or Guardian's employer:
Check which jobs interest
you the most:
At what times are you
interested in volunteering? Check all that apply.
Please list any times that you are unable to
How did you hear about us?
Check all that apply.
Why would you like to volunteer with the Louisville
Free Public Library?
Thank you for taking the time to give us this
information. The Louisville Free Public Library will hold all
personal information in strict confidence, but your volunteer hours
are tracked and may be shared with the Library Foundation for donation
requests with employers. The Library reserves the right to
screen and select volunteers based on aptitude and library needs, as
well as to determine all volunteer placements and job
assignments. We look forward to working with you!