Bethel Public Library

189 Greenwood Avenue, Bethel, CT 06801

203-794-8756   Fax 203-794-8761

www.bethellibrary.org

 

 

 

 Application for Teen Volunteers

 

Name:                                                                                                 Phone:                                    

 

Address:                                                                                                                                           

 

Email:                                                                                      Date:                                                 

 

Name and Phone # of Emergency Contact:                                                                                            

 

Relationship to you of Emergency Contact:                                                                                

 

School and Grade:                                                                                                                             

 

  Check this box and complete the following information if you are volunteering to complete requirements for community service (for example, school graduation requirements, National Honor Society, etc.)

 

Name of Organization:                                                                                                                   

 

Completion Due Date:                                              Hours Required:                                           

 

Please fill in the bottom row of this chart with the days and times you would regularly be available to volunteer at the Library, noting your preferred times.  Weekend hours are usually only available for special events and long-term volunteers.

 

Day of the Week

Monday

Tuesday

Wednesday

Thursday

Friday

Library's Hours

 

10:00 a.m. - 8 p.m.

 

10:00 a.m. - 5 p.m.

 

10:00 a.m. - 8 p.m.

 

10:00 a.m. - 8 p.m.

 

10:00 a.m. – 5 p.m.

Your Availability

 

 

 

 

 

 

Within your available times to work, how many hours do you wish to work per week?

 

 

Have you volunteered at the library before? If yes, when?

 

Please note that Library volunteers are not covered under the Workers' Compensation policy because they do not meet the definition of employees of the Town.

 

I understand that I am not covered by a Workers' Compensation policy while volunteering at the Bethel Public Library and that I must attend a one-hour orientation session before beginning any regular volunteer hours.

 

Applicant's Signature:                                                                     Print:                                                 

 

Parent’s/Guardian’s Signature:                                                       Print:                                                 

 

The Bethel Public Library reserves the right to limit the number of active volunteers at any one time.

 

 I would like to sign up to be notified by email for:

 

            o Newsletter      o Children’s Programs  o Adult Programs       o Adult Book Discussions  o Hold Notices     o Adult Computer Classes   o Overdue Notices               o Teen Programs       o Wowbrary (new items)

   E-mail:                                                                                                                                                           

 

Please note:  Under the Freedom of Information Act (FOIA), if requested, the Bethel Public Library must disclose the names/email addresses that are provided for the purpose of receiving email fliers and newsletters.  Information provided to receive overdue notices and hold notices via email is confidential by law and is not subject to FOIA.

If you have any questions, please contact the Library Director: 203-794-8756 x6.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 

For library use only

 

Date application received:

 

Date applicant contacted:

 

Agreed-upon schedule:

 

First day:

Last day: