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Volunteer Application Form

Development
Carnegie Library of Pittsburgh
4400 Forbes Avenue
Pittsburgh, PA 15213
Phone: 412.622.6276

 

Please fill out the application form completely.
Asterisked items are required.

Name:*
Address:*
City:*     Zip:*
Telephone:*
Email:
Age: Under 13   
13-17    18-25    26-36
37-54    55-64    65+

Are you a member of the Carnegie Library of Pittsburgh Friend's Group?
   Yes     No
If yes, which location?   

Have you volunteered at a library before?   Yes     No
If yes, which library?   

Are you volunteering as a Community Service requirement?    Yes     No
If yes:
Number of hours to fulfill:
To be completed by:
Court:
Organization/Institution:
School:

Reason Community Service Ordered:

Are you interning?    Yes     No

If yes, school:   

At which Carnegie Library of Pittsburgh library location would you prefer to volunteer?*


What days/hours are you available for volunteer work?*


Do you have computer skills? Please specify:*


Check any of the broad categories of volunteer listed that might interest you:
Bulk Mailings
Clerical Jobs
Data Entry
Programming with Seniors
Shelving Books/Shelf Reading
Shipping and Sorting
Special Projects
Working with Children
       (May require ACT 33/34 Clearances)
Working with the Public
Other - Please Specify:
     

Do you have any physical limitations that might restrict your activity?*


Do you have any special skills or interests?*


Education:*


Emergency Contact:
Name:*
Telephone:
Relationship:

References:
Please list two professional, educational, or character references we may contact.
Name:*
Telephone:
Relationship:

Name:*
Telephone:
Relationship:

VOLUNTEER AGREEMENT
Agreement is not finalized until signature is present.
My signature authorizes Carnegie Library of Pittsburgh to verify any of the information on this application and to secure information from personal references. I Understand that as a volunteer I am not entitled to monetary compensation for the work that I perform or be entitled to worker's compensation or group benefits in the event of injury. THE CARNEGIE LIBRARY OF PITTSBURGH VOLUNTEER PROGRAM reserves the right to an evaluation sometime after placement and the right to terminate services should responsibilities not be fulfilled satisfactorily.

Please note that your personal information is protected by the terms of Carnegie Library of Pittsburgh's privacy policy.