Hennepin County Library - Volunteers - Online Application Form

volunteers

Court-ordered Community Service Volunteer Application

Court-ordered community service is available at Hennepin County Libraries, depending on location, time needed and volunteer openings. All positions require individuals with good organizational and communication skills.

A two week notice prior to deadline is required. Please complete all fields of the application below and submit the form. You will be contacted for follow-up. If you have any questions, please call 952-847-8545.

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Work Phone:
Email Address:
Best time to be reached:
Organization requiring community service:
Org. Contact Person:
Org. Phone Number :
Org. Email:	(leave blank if none)
Hours Needed:
Deadline, if applicable:
1st preferred library:
2nd preferred library:
Age Group:	Under 18 18 - 20 21 - 59 60 +

If under 18 years old, please fill out the following:

Age: Grade: School:

Race:

American Indian/Alaskan Native Asian Black/African American

Native Hawaiian or Pacific Islander White Hispanic Latino

Other

Please identify the language(s) in which you consider yourself fluent.

How did you hear about the library's volunteer program?

In Case of Emergency (Required)

Name:

Phone number:

Relationship to you:

Criminal History Information (Required)

Some volunteer positions at Hennepin County Library require criminal history information. All volunteers need to complete the following questions. You will be notified if futher information is required.

Have you ever been convicted for a violation other than a minor traffic offense? Yes No

(Answering "yes" does not mean you are disqualified from all volunteer positions. You must report all convictions.)

If convicted, what was the date and nature of the offense?

Additional Comments

By submitting this form, I hereby certify that the information on the above application is true, accurate and complete to the best of my knowledge. I also authorize Hennepin County Library to verify any of the information on the application and to secure employment-related information deemed necessary from former employers or personal references and information needed to complete a criminal background check.