* Indicates a required field.Your Name: (first and last) *Telephone Number: *Street Address:City:State:AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington, D.C.West VirginiaWisconsinWyomingZip Code:Email Address:Please tell us why are you interested in volunteering at the Wells County Public Library? *List past work experience (including volunteer work). Highlight any experiences which you feel might be applicable to library work. *We use volunteers in several areas of the library. Please let us know your interest of helping with the following activities. (check all that apply) * Organizing books/shelves Cleaning & sorting DVDs/CDs Selecting books for displays Cleaning toys, computers, books Indexing articles/genealogy Answering phones Assisting with programs Leading a program Folding/mailing newsletters Working on the library scrapbookOther:Please check any of the following skills or special knowledge that you have which might be beneficial to the library. (check all that apply) * Good alphabetic & numeric skills Computer experience Knowledge of current books Scrapbooking skills Enjoy working with people Detail oriented Organized/neatI prefer to: (choose one) *have a regular work schedulework on special projects within a more flexible time frameWhen would you be available to work? (check all that apply) * Monday Mornings Monday Afternoons Monday Evenings Tuesday Mornings Tuesday Afternoons Tuesday Evenings WednesdayMornings Wednesday Afternoons Wednesday Evenings Thursday Mornings Thursday Afternoons Thursday Evenings Friday Mornings Friday Afternoons Friday Evenings Saturday Mornings Saturday Afternoons Saturday EveningsHow many hours per week/month would you like to volunteer at the library? *Background InformationHave you ever been convicted or plead guilty to a felony or misdemeanor, other than a minor traffic violation?YesNoIf yes, please explain:A conviction record will not necessarily be cause for disqualification.In Case of Emergency ContactContact Name: (first and last)Contact Telephone Number:ReferencesPlease list the contact information for two references.First ReferenceName: (first and last)Telephone Number:Email Address:Relationship to Applicant:Second ReferenceName: (first and last)Telephone Number:Email Address:Relationship To Applicant:By clicking the submit button I agree to the following:I certify that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts on this application may result in termination of my volunteer involvement with the Wells County Public Library. I authorize the verification of all pertinent information, including checking references and performing a criminal background check. I understand that I am volunteering my time and will not be paid or compensated for my services as a volunteer. Please type the letters and numbers shown in the image. Click the image to see another captcha. Processing The data has been submitted.