Volunteering - Albany County Public Library

I am working on court-ordered community service and would like to do this service at the library.

Yes
No

*Note: If you answered yes, this is NOT the right form to fill out. Please contact Bailey Murray bmurray@acplwy.org about court-ordered community service.

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What length of time are you interested in volunteering?

A year or more
A semester/a few months
One time

*Note: The library is generally looking for volunteers available for a year or more. If you or your group is interested in a short-term or one-time project, contact Bailey Murray about our short-term volunteer list.

Date:

Personal Information

Name:

First Last

Street address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home phone:

Cell phone:

Email:

Emergency Contact Information

Name:

First Last

Relationship:

Home phone:

Alternate phone:

Medical Information

This information will not impact your ability to volunteer; it is in case of an emergency. However, please let us know if there are any physical conditions that should be taken into consideration.

Medications:

Conditions:

Employment/Education Information

Please check one:

Student
Employed
Not Employed
Retired

Employer/School:

Street address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Volunteer Experience

List any previous volunteer experience (if applicable):

Reference Information

Please list two references that can vouch for your work skills and abilities.

Reference 1 name:

First Last

Contact information:

Relationship to you:

Reference 2 name:

First Last

Contact information:

Relationship to you:

Skills and Abilities

Why do you want to volunteer at the library?

Please read the attached list of volunteer positions available. Which ones are you interested in?

Are there types of work you would not want to do? (i.e. Standing, lifting, working with the public, driving)

Are you familiar with:

Internet searches
Microsoft Word
Microsoft Excel

Other computer programs?

How did you hear about volunteering at the library?

When are you available to start volunteer work?

I would like to work:

With one time projects only (limited availability)
hours weekly
mornings
afternoons
evenings
weekends
anytime
specific days/times

Check all that apply.

If hours weekly, how many hours:

If specific days/times, please specify below:

I have the following skills:

library experience
bookkeeping
carpentry
computer experience/typing
gardening
scrapbooking/crafting
planning programs
office filing
other

Check all that apply.

If other, please specify:

Background Information

Qualified volunteers will be considered without regard to race, creed, gender, disability, religion or sexual orientation.

Have you ever been convicted of a felony?

Yes
No (Please check one)

If yes, please provide the nature of the offence, when and where the conviction occurred, the sentence received and in what court the conviction was filed.

I understand and agree that a background check could be required before placement in any sensitive volunteer position. I certify that the answers contained in this application are true and complete to the best of my knowledge. If my offer is accepted, I will not be entitled to compensation for any services I provide. By signing this, you are also waiving your right to hold the ACPL liable for any injury or loss suffered by you.

Signature:

By typing my name above I certify that the answers above are truthful.

Date

Parent/Guardian Consent (for volunteers under age 18)

I give permission for the above applicant to volunteer at the Albany County Public Library for a maximum of hours a week.

Day phone:

Evening phone:

Cell phone:

Parent/Guardian name:

First Last

Parent/Guardian Signature:

By typing my name above I certify that the answers above are truthful, and that I give permission for the above application to volunteer.

Date:

Mon	1 PM - 6 PM
Tue - Thu	10 AM - 7 PM
Fri	1 PM - 6 PM
Sat	1 PM - 5 PM
Sun	Closed

Mon - Tue	Closed
Wed	9 AM - 1 PM
Thu	Closed
Fri	1 PM - 4:30 PM
Sat - Sun	Closed

Mon - Fri	11 AM - 3 PM
Sat - Sun	Closed