Volunteer Application

Birchard Public Library of Sandusky County
Volunteer Application

We appreciate your interest in the library. Thank you for taking the time to complete this application. Please print clearly.

Date ________________________________ 

Applicant Information 

Name (Last, First, Middle)_________________________________________________________ Preferred Pronouns__________________

Address __________________________________________________ City __________________________ State _______ Zip __________

Phone (Home)__________________________ (Cell) ______________________ Email ___________________________________________

The best time to contact you and preferred method: ________________________________________________________________________

Are you 18 years or older (please circle)? Yes No 

If no, provide birthdate: __________________________ 

In case of emergency, contact: Name___________________________________________ Phone ____________________________________

Is this court-ordered community service (please circle)? Yes No If yes, how many hours? ___________ By what date? _________________

Have you ever been convicted of a felony (please circle)? Yes No If yes, please explain: ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________
(Note: Do not declare any sealed or expunged convictions. A conviction will not necessarily bar participation in the volunteer program but will be considered within the context of the entire application.) 

How did you hear about this volunteer program? _____________________________________________________________________________

Current Employment 

Job Title ______________________________ Employer ______________________________________________________________________

Address ________________________________________________ City _____________________________ State ___________ Zip _________

Educational Level 

Current Grade and School ________________________________ or Highest Level of education completed ____________________________

Volunteer Experience/Interest 

List previous volunteer experiences and locations, please: ______________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________

Why would you like to volunteer here? _____________________________________________________________________________

Areas of volunteer interest (check all that apply)

_____ Shelving library materials 
_____ Putting books in order and straightening shelves 
_____ Assist with children/teen crafts, craft kit or program prep 
_____ Assist computer users
_____ Serve as guest storyteller for Storytime 
_____ Library mailings 
_____ Create displays 
_____ Yard work
_____ Other: ______________________________________

Availability (Please include all that apply): 

References

Please list two references (former employer, other volunteer experiences, teacher, etc.) 

Name: _________________________________________________       Name__________________________________________________

Address _______________________________________________       Address _______________________________________________

Phone _________________________________________________       Phone _________________________________________________

Email __________________________________________________       Email __________________________________________________

Reference based upon:________________________________       Reference based upon: :________________________________

Volunteer Release Form

I understand that my services are being offered on a voluntary basis without anticipation of financial remuneration. This is not an application for employment, and nothing in this application is intended to imply or create an employment relationship or contract. I shall indemnify and hold harmless the Birchard Public Library of Sandusky County, its Board and officers, agents, and employees from and against all claims, demands, loss of liability of any kind or nature for any possible injury incurred during volunteer service.

Signature of Volunteer: ________________________________________________________________________________ Date: __________________

Signature of Parent/Guardian (if under 18): ___________________________________________________________ Date: ___________________

Internal Review Only

Reference Check 1 Date_____________ Notes:__________________________________________________________________________________________

Reference Check 2 Date_____________ Notes:__________________________________________________________________________________________

(Updated: November 2023)