VOLUNTEER APPLICATION
Tulsa City-County Library
400 Civic Center
Tulsa, OK 74103
596-7962
Last Name____________________________First Name_________________________MI___
Street Address ______________________________________________________________
City__________________________________State_____________________Zip__________
Phone (Home)_____________________________(Office)____________________________
E-mail:_____________________________________________________________________
Age Group (circle) 13-21 22-55 56-up Birth date:__________________
In case of emergency whom should we notify?
Name:__________________________________________________Phone:______________
Name of Physician:________________________________________Phone:______________
Children at Home:________________________________ Ages:_______________________
Education/Major:_____________________________________________________________
Community or Professional Groups:______________________________________________
___________________________________________________________________________
Volunteer Experience:_________________________________________________________
___________________________________________________________________________
Interests/Special Skills/Talents (music, art, computers, typing, writing, working with children, etc.): __________________________________________________________________________
__________________________________________________________________________
Availability: What day(s) of the week are you available? (circle)
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
What time during the day(s) are you available? (circle)
Mornings: 9 am - Noon Afternoons: 1 pm - 4 pm Evenings: 6 pm - 9 pm Other_______
How often can you volunteer? (circle)
3 times per week 2 times per week Once per week
Preferred Volunteer Location: ______________________________________________
How did you hear about the library's volunteer program?____________________________
_________________________________________________________________________
APPLICATION DATE:________________ ASSIGNMENT STARTING DATE:_____________
PROSPECTIVE PLACEMENT:__________________________________________________
DATE SENT TO BRANCH/ DEPT._______________________________________________