VOLUNTEERPPLICATION
Group ervice
Thank you for your interest in volunteering with DC Public Library! So that we may match your group with the best project fit, please provide the following details. Incomplete applications may result in a processing delay.
CONTACT INFORMATION
Name of Organization:
Division (if applicable):
N/AStreet Address:
City, State, ZIP:
Contact (Ms/Mrs/Miss/Mr/Dr/Rev):
Job Title:
E-mail address:
Daytime Phone:
Evening Phone:
TELL US MORE ABOUT YOUR GROUP
How many people will be in your group?
1-10 10-20 20-30 30-50 50-100 100+
What is the primary age of your group?
(Minimum age to volunteer is 14. Youth 18 and under require written permission from a parent or guardian.)
Teens (14-19) Young Adult (20-24) Adult Senior All ages
How will your group get to the project?
(Check all that apply)
Metro line: Bus Car Walking/BikingWhere can your group perform service?
Martin Luther King, Jr Memorial Library Neighborhood Library Which one(s):
Can all individuals in your group provide certification of cleared background checks?
(Background checks are required for service with children, youth and other safety sensitive positions.)
Yes NoVolunteer Application for Group ServicePage 1 of 4
Please explain:
Does your group wish to use photographs of service for any publicity or marketing purposes?
(Any photos of children or youth participating in Library and partner programs require a written release from parent or guardian.)
Yes NoPlease explain:
How frequently does your group wish to volunteer?Temporary Service:
Half Day Full Day Week Month Other:
Ongoing Service:
Weekly Monthly Quarterly Twice / year Once / year Other:
When is your group available to volunteer?
ShiftMonTueWedThuFriSatSunM – 1 PMM – 5 PM5 PM – 9 PMWhat dates does your group wish to volunteer?
What type of service project is your group willing to perform?
(Check all that apply. We cannot guarantee availability of each service opportunity at all times.)
Shelfmaintenance
(shelving,dusting,alphabetizingetc.)
Groundsmaintenance
(gardening,beautification,trashcollectionetc.)
Events
(greeting,crowdcontrol,foodserviceetc.)
MaterialsAssembly
(Paperfolding,envelopstuffing,fabriccutting etc.)
StreetOutreach
(publicizingLibraryprograms& services)
MaterialsMaintenance
(bookcleaning,repair etc.)
Other:
What population is your group comfortable working with?
(Check all that apply)
Children Teens Adult Senior Special Needs Limited EnglishOther:
Are members of your group fluent in a language other than English?
(Check all that apply)
Spanish Amharic French Chinese Korean ASLVolunteer Application for Group ServicePage 2 of 4
Other:
Are there members of your group willing and able to serve as team leaders for your volunteer project?
Yes No If yes, how many?
Please tell us if your group has any other special needs, skills or wishes for their service experience.
How did you hear about the DC Public Library Volunteer program?
Library website Walk-in Poster or flyer in a library Poster or flyer at another agency or businessReferral from a library volunteer Referral from a library employee Referral from another agency employeeOther website:If you were referred by an employee, volunteer, or other agency please list below. We’d like to thank them!Contact Name: Division, Site or Agency:
SERVICE AGREEMENT
If my group is matched for service, as the contact, I agree to alert the Volunteer Services Coordinator to any changes inthe above information, including but not limited to:
1.
Final head count of participants
3 business days in advance
2.
Notification of cancellation or need to reschedule
1 week in advance
Electronic Signature: Date:
THANK YOU!
Please return your completed form by email, mail or fax to:
Carrie WolfsonVolunteer Services Coordinator901 G Street, NW Suite 400Washington, DC 20001Tel: 202-741-5803Fax: 202-727-1129libraryvolunteers@dc.govVolunteer Application for Group ServicePage 3 of 4
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Group Volunteer Application (Electronic)
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| Category: | Uncategorized. |
| Rating: | |
| Upload Date: | 10/23/2009 |
| Copyright: | Attribution Non-commercial |
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