Library Volunteer Application Form

Library Location Preference: -- Choose a location -- Bon Air Crescent Hill Fairdale Highlands/Shelby Park Iroquois Jeffersontown Main Library Middletown Newburg Northeast Portland St. Matthews Shawnee Shively South Central Southwest Western

CONTACT INFORMATION

First Name: Middle: Last:

Address: 

City: State: Zip Code:

Phone: (Day) (Evening)

Email Address:

Date of Birth:
Month Day Year

Emergency Contact Name:

Emergency Contact Phone Number:

Do you have any limitations you wish us to know about?

EDUCATION

Check all that apply to you.

List any other educational or volunteer experience you would like us to know about:

TIME PREFERENCES

At what times are you interested in volunteering?

Please list any times that you are unable to volunteer:

REFERRAL

How did you hear about us?  Check all that apply.

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.

Occupation:

Current Employer: Title:

Retired from: Title:

Spouse's employer:

Parent or Guardian's employer: