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

I’d like to share my skills in the following: (check all that apply):



 Arts  Delivering books  Sewing
 Book/AV mending  Displays/bulletin boards  Shelving/Shelf reading
 Clerical work  Grant writing  Storytime presenter
 Community room setup/down  Photography/video  Technology Mentoring
 Crafts  Public Speaking  Telephoning
 Data entry/spreadsheets  Record keeping  Word processing

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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