Copy, fill out, sign, and return this form to the Volunteer Coordinator in person, by mail to the address above, or send by fax.
NAME: ________________________________________________
ADDRESS: _____________________________________________
PHONE: _______________________________________ E-MAIL: ________________________________
CONTACT PERSON (emergency contact): _____________________________________________
CONTACT PERSON'S PHONE: ______________________________________
List past work experience (including volunteer work). Highlight the experience which you feel might be applicable to law library work:
List any other skills or special knowledge you have which might be beneficial to the law library:
Why are you interested in the Douglas County Law Library?
Are you interested in all aspects of library work? Are there some jobs you are not interested in?
Would you prefer to have a regular work schedule or to work on special projects within a more flexible time frame?
Are there any days or time of day when you are not available?
Are there any days or times of day when you would prefer to work?
How many hours per week/month would you have available to give to the Law Library?
States other than Kansas that might have records on you (for background check purposes).
REFERENCES:
1. ________________________________________ PHONE: ______________________________
2. _________________________________________ PHONE: ______________________________
Signature: ____________________________________________ Date: ___________________________
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