At Your Library

Teens Online Volunteer Application

* designates a required field.
First Name: *
Last Name: *
Address: *
City: *
Zip Code: *
Home Phone: *
Cell Phone:
Email:
Best time to be reached: *
Age: *
Date of Birth: *     (e.g. 1984)
Grade: *
School: *
Why are you interested in being a member of the Teens Online Advisory group: *
What skills or abilities do you have to bring to this position: *
Volunteer experience:
Organization:
Date:
Type of work performed:
Time at organization:
Personal Reference:
Reference name:
Reference Phone:
Reference address:
In case of an emergency:
Emergency name: *
Emergency phone: *
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.