Jackson County Library Volunteer Application

Your Name: 

Your Address:

Street

City    State     Zip Code

Home Phone:

Work Phone:

Cell Phone:

Birthdate:

E-Mail Address:

Location Preference (check all that apply):

Applegate Eagle Point Rogue River
Ashland Gold Hill Ruch
Butte Falls Jacksonville Shady Cove
Medford Phoenix Talent
Central Point Prospect White City

I am available:     Specify dates if "Other" was selected:

Availability:

Day: Times (list hours):
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Education (check highest level):

Elementary High School Technical School Some College
College degree or professional training in:

Personal References (give two references from the local community, one of whom may be present employer):

Name Daytime phone # Relationship

What languages do you speak:

What languages do you read:

I understand that Jackson County may conduct a criminal background investigation, check my driving record, or contact my present or past employer references if necessary.

Yes No

Parental Permission:

If you are under 18, please have a parent/legal guardian sign a permission form at the orientation meeting.

I'd like to volunteer by helping with (check all that apply):

At Most Libraries: Medford/Ashland Only: Medford Only:
     
 Circulation/Shelving  Rover – Assists Patrons  Outreach to Child Care Centers
 Finding Hold Requests  Information Desk  Technical Services
 Storytimes  Children’s Department  
 Special Activities/Events  Teen Department  
 Summer Reading Program  Outreach to Homebound  
 Book Mending (select branches)    
 Technology Mentoring    

Would you like to work with the public?

Yes No

Orientation: All volunteers must attend orientation. Please contact: Carrie Prechtel, Community Outreach Specialist, at (541) 774-6407 or cprechtel@jcls.org.

Thank you for taking time to fill out this application!

   

 



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