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Established 1956

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Volunteer Application

Please be prepared to provide references on this application. You will also be asked to choose which volunteer opportunities you are interested in.

Personal Information
Name*
First Middle Initial Last
Address*
Street Address City State ZIP Code
Phone 1*
Phone 2
Email*
You must be at least 12 years old to volunteer.
Are you 18 or older?*
- Yes
- No
If no, date of birth
MM slash DD slash YYYY
In case of emergency, notify*
Name Phone Relationship
Occupation and/or Education
Choose the highest grade completed*
- 9
- 10
- 11
- 12
- College
If College, years or degree completed
Current Employer and Position
Are you a student?*
- Yes
- No
Which school do you attend?
Volunteer Interest
At which library would you like to volunteer?*
For each day, indicate times you are available to work a two-or three-hour shift*
Monday Tuesday Wednesday Thursday Friday Saturday
Please select one:
- I am interested in volunteering indefinitely.
- I am interested in volunteering through a certain date:
Date
Tell us which areas you are interested in volunteering*
- Book Club Leader
- Building Caregiver
- Collection Care Assistant
- Community Ambassador
- Greeter
- Grounds Caregiver
- Holds Processor
- Movie Matinee Leader
- Penn’s Little Village Volunteer
- Shelf Organizer
- Special Events Assistant
- Summer Quest Assistant
- Not Sure
Volunteering
How will volunteering at the library help you meet your personal goals?*
Skills
What special interests and skills do you have that will help us to match you with the best assignment?*
Accommodations
Please list any physical or other accommodations you may require
Reference Information
Please give two personal or professional references
*
Personal or Professional? Name Phone
*
Personal or Professional? Name Phone
Have you ever been convicted of a crime that has not been expunged or pardoned, other than a minor traffic violation?*
- Yes
- No
If yes, please explain
A conviction will not necessarily preclude your volunteering. This information will be used only for volunteer-related purposes and only to the extent permitted by applicable law.
*
I understand that I will need to obtain background checks in order to volunteer.*
Consent*
By checking this box and typing my name, I authorize Bucks County Free Library to make inquiries as to my experience and character and I certify that all information on this form is true and correct to the best of my ability.*
Electronic Signature*
*
I understand if I am under age 18 that I'll need to have a signed parent or guardian consent form before starting work.*
Electronic Guardian Signature

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215-348-9081

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