Volunteer Application
Summer Reading Program
Name *
Address *
Home Phone Number *
Cell Phone Number *
Email *
Date of Birth *
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/
DD
/
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Age (Minimum 13) *
Emergency Contact Name *
Emergency Contact Phone Number *
Please select the age group(s) you would like to work with: *
Required
Please Select your Daily Availability from July 6th- August 12th: *
Required
Unavailable Dates (Work, Vacation, ext.)
Please tell us why you would like to volunteer with the Strathmore Summer Reading Program. *
Let us know a little bit about you, what are your hobbies and interests? Do you speak a second language? *
What do you hope to get out of this experience? *
Optional: If we photograph you, may we use your picture (no last names or other personal information will be used) in promotional materials and on the web site? If you agree, read and check below: I do hereby give and grant permission, in perpetuity, to the Strathmore Municipal Library Board of Trustees (hereafter, SMLB), to use in such manner as it may deem desirable, my appearance in any photographs. I understand that those photographs may be edited and used in whole or part in any manner of media, including but not limited to, newsprint, magazines, television and the Internet. Further, SMLB, shall have complete ownership of the photographs, and shall have the exclusive right to make use of such photographs as it deems appropriate. I understand that I am to receive no compensation for my appearance in any photograph, or as a result of any use of the photograph by SMLB. I further give and grant to SMLB the right to use my name, likeness and biographical material in connection with its use of the photographs.
For volunteers under the age of 18, parental consent is required. If you consent to your child's participation in the program please select below.
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