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Carpinteria Community Library Volunteer Application (Adult)
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First Name
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Your answer
Last Name
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Your answer
Street Address
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City
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State
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Zip Code
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Personal Phone Number
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email address
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Birth Date
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Days Available To Volunteer
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Monday to Friday
Fridays
Saturdays
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Emergency Contact Name
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Phone Number Of Emergency Contact
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Relation To Emergency Contact
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List any specific interest you have in volunteering
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Do you have any limitations related to health or physical ability? If so, please explain.
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List any specific interest you have in volunteering
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Have you ever been convicted of a violation or attempted violation of Section 243.4 of the Penal Code, a sex offense against a minor, or of any felony, which requires registration pursuant to Section 290 of the Penal Code?
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No
How did you hear about the Volunteer Program?
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I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT FULLY, UNDERSTAND IT, AND AGREE TO IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT.
https://docs.google.com/document/d/1H6_s2OlaLU9bQxpfsYgvCP-KEml4YPYvdTIC2Fc0ubw/edit?usp=sharing
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I Agree
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