Durham Public Library Volunteen Application
For volunteers 13 - 18 years old
Name *
Your answer
Address *
Your answer
Phone *
Your answer
Email address *
Your answer
Library experience (if any) *
Your answer
School *
Your answer
Grade *
Your answer
Age *
Your answer
Is this for a community service hour requirement for school or an organization? *
If yes, how many service hours do you need completed? Please include deadline if applicable.
Your answer
Days/Times you are available (please check all that apply) *
Required
I, desire and agree to volunteer my services on behalf of the Durham Public Library (“DPL”), an agency of the Town of Durham (“Durham”). I further understand and agree as follows: 1. I am donating my time and services without any compensation and shall at no time be considered an employee or independent contractor of the DPL, and the DPL will not provide insurance coverage for me; 2. I agree to abide by the policies of the DPL; 3. I acknowledge that both I and the DPL have the right to terminate my volunteer association with the DPL at any time, for any reason, with or without cause; 4. I know of no reason, medical or otherwise, that would prevent me from performing the tasks required to participate as a volunteer, including, but not limited to, lifting and moving books and interacting with the public; 5. I assume all risks of participating as a volunteer and full responsibility for my conduct and actions, whether active or passive, including any injury to myself or others or damage to property that may result while volunteering, and I understand that the DPL is not responsible for conditions that I create myself or those created by other volunteers, or the public; and 6. I, binding my heirs, executors, administrators and assigns, hereby agree to release, hold harmless and indemnify the DPL, its officers, directors, trustees, officials, employees, agents and volunteers, from and against any and all claims, causes of action, loss, damage, expense or cost (including attorneys’ fees) of any kind for injuries (including property damage, personal injury, disability and death) arising out of or alleged to arise out of my volunteer activity, whether caused by the passive or active negligence of the DPL, its officers, directors, trustees, officials, employees, agents, volunteers, or otherwise. *
Name of parent who grants permission for the applicant to volunteer *
Your answer
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