Date*

Your Name*

Street Address*

City*

State*

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip Code*

Home Phone*

Work Phone

Cell Phone

Email*

Contact Information

How and when are the best times to contact you?*

Volunteering

Why do you want to volunteer at Carnegie-Stout Public Library?*

Availability

When are you available to work?*

Days Evenings Weekends Anytime

How often would you like to volunteer?*

One or two times per week One or two times per month On occasion for special projects or programs Anytime as needed

What types of activities would you enjoy?

Rank 1 to 8 from most to least enjoyable:

Office or clerical, such as typing and filing*

Computer work, word processing, spreadsheets, designing web pages*

Writing or graphic design for newsletters or promotional materials*

Shelving library materials, straightening shelves, general pick up*

Creating labels and covers for new books and other library materials*

Researching and cataloging library artwork and photos*

Dusting, cleaning, maintenance*

Helping with special events and programs*

In which library department would you prefer to volunteer?

Rank 1 to 6 from most to least preferred:

Adult Collections and Services (genealogy, reference, interlibrary loan, etc.)*

Children's Collections and Services (reading programs, special events for youth, etc.)*

Circulation Services (check-out, shelving, card registration, overdues, etc.)*

Technical Services (processing new materials, cataloging, computers and website, etc.)*

Administration (policies, scheduling, newsletters, special art and photo collections, etc.)*

Maintenance (dusting, cleaning, grounds maintenance, etc.)*

Additional Skills

Do you have computer skills?

Yes, I'm a beginning user Yes, I'm comfortable with most computer programs Yes, I'm a highly skilled computer user No

Are you fluent in any languages other than English? Please describe:

Do you have other special skills? Please describe:

Educational Background

What is the highest level of education you have completed / are in the process of completing?*

Elementary School High School College Graduate School

Employment and Volunteer History

Please list your last three jobs and/or volunteer positions:

Name of Employer*

Your Position*

Start / End Date*

Name of Employer*

Your Position*

Start / End Date*

Name of Employer*

Your Position*

Start / End Date*

Personal Reference

Please provide the name and phone number of one person who we can contact as your reference:

Name:*

Phone Number:*

Additional Comments

Do you have any other comments or information that will help us match your interests and skills with volunteer opportunities at the library?