Adult Volunteer Application Form
Thank you for your interest the Chelsea District Library Volunteer Program.  Please Complete the application below and we will follow up with you soon.
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First and Last Name *
Address1 *
Number, Street
Address2 *
City, State, Zip Code
Preferred Phone Number *
What is the best phone number to contact you?
Email *
I am at least 18 Years of Age. *
Required
Please Rate Your Skill with the Following Technologies/Applications:
 ~ Choose the level that best describes your experiences.
INTERNET *
Required
WORD *
Required
EXCEL *
Required
POWER POINT *
Required
PUBLISHER *
Required
GoogleApps *
Required
Have you served as a volunteer before?  
If so, please note any organizations you may have served in the past.
Past Volunteering: *
Please tell us little about your reasons for volunteering:
What brought you to the Chelsea District Library?
Why Volunteer? *
Do you have any special skills or hobbies that you think would be of value to the library or our community?
Note any areas of expertise that you are willing to perform or share with others.
Special Skills *
Our web site lists current volunteer opportunities.
We Will Try to Accommodate Your Primary Interests When Openings Exist.
Primary Interest? *
:: SPECIAL NEEDS ::
From time to time, volunteers have special needs while in the library.  Please tell us if you have any special needs.
Special Accommodations? *
Accommodations Needed:
Please describe any special needs we should be aware of while you are in the library:
Please Note the TIME (Shifts) for each day you are available.
[Example:  Morning, Afternoon, 10a-4pm, 2p-6pm, Saturday Only etc.]
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
I understand that I will come in contact with confidential information that I am not to discuss with anyone not directly involved with the Chelsea District Library.
Non-Disclosure Agreement
Clear selection
I give Chelsea District Library permission to publish and use the photographs they have taken of me for editorial, illustration, advertising, social-media or other trade purposes. I grant these rights to Chelsea District Library, their photo agency and agents.
Photography Release
Clear selection
Please Note: You may be scheduled for an interview, depending on availability and library needs.
The Friends of the library grant honorary membership for registered library volunteers.  Thank you for being a Friend!
Linda Ballard
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