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Volunteer Application Form
for Computer Lab Assistant @ Beatties Ford Road Library

* required field
*Last Name:
*First Name:
*Street Address:
*City:
*State:
*Zip:
*Phone number:
Cell phone number:
Email address:
Re-type Email address:
*Emergency Contact Name:
*Emergency Contact Phone:
*Gender:
Male Female
Birthday:
* Volunteers must be at least 14 years of age.
Birth Month: Birth Day: Birth Year:
Is this a community service requirement?
Court Assigned requirements must be assigned by Mecklenburg County Court System
School Work Other Court Assigned
If yes, total number of hours required:
To be completed by date:
Availability: What days are you available? (may vary by branch)*
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
What time during the day are you available? (may vary by branch)*

Mornings Afternoons Evening Other

If you checked "Other" above, please provide details.
Volunteer location: At which libraries would you prefer to volunteer?

Why are you interested in volunteering?


What appeals to you about the position?:


Please let us know about any special skills or interests:

Current Employer:
Please note: Background checks are required for volunteers age 17 and over.

Have you ever been convicted of an offense against the law other than a minor traffic violation? (A conviction does not mean you cannot be selected as a volunteer. The offense and how recently you were convicted will be evaluated in relation to the volunteer opportunity for which you are applying.) * required   Yes   No (if yes, explain fully )


Your selection as a volunteer may be contingent upon a successful background check.

May the Library access your police records?* required Yes   No
What specifically would you like to contribute to the library?
I understand that it is the Library’s policy to protect the privacy of those who use the library. I agree to hold information about patrons in complete confidence and to access this information only in the course of performing my volunteer assignments. In addition, I understand that a breach of confidentiality is grounds for dismissal from the volunteer services program. I also understand that background checks may be necessary for some positions. My submission of this application to the Library indicates an agreement with these terms and conditions.