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ONLINE VOLUNTEER APPLICATION

Use the form below to submit your volunteer application to the volunteer coordinator. Some positions may require a background check.

(Items marked with * are required)
Last Name:* First Name:*
Street Address:* City:*
State:* Zip:*
Phone number:* Cell phone number:
Email address: Re-type Email address:
Emergency Contact Name:* Emergency Contact Phone:*
Age Group:*
 14 - 17  18 - 25  26 - 50  51 - 65  66 - up
Gender:*
Male Female
Birthday:
Birth Month: Birth Day:
Is this a community service requirement?
School Work Other Court Assigned

( *** Court Assigned requirements must be assigned by Mecklenburg County Court System *** )
If yes, total number of hours required: 
To be completed by: 
Availability: What days are you available? (may vary by branch)*
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
What time during the day are you available? (may vary by branch)*
Mornings Afternoons Evening Other

If you checked "Other" above, please provide details.
Committment: How often can you volunteer?*
3 times per week 2 times per week once a week once every two weeks summer only
Volunteer location: At which libraries would you prefer to volunteer? (List 1 thru 4 in order of preference)
  Beatties Ford Road   Belmont Center   Carmel
  Cornelius   Davidson   Freedom Regional
  Hickory Grove   ImaginOn   Independence Regional
  Main   Matthews          Mint Hill
  Morrison Regional   Mountain Island         Myers Park
  North County Regional   Plaza Midwood   Scaleybark
  South County Regional   Steele Creek   Sugar Creek
  University City Regional         West Blvd
What volunteer areas are you interested in? (check all that apply)
Repairing/Shelving Books Homework/Tutors Working w/Computers Emptying book bins
Data Entry/Clerical       Historical documents or Genealogy Assisting with Adult Programs/Workshops Assisting with Childrens Programs/Workshops
Movies/Music Special Events      Welcome/Help Desk Tours/Gift Shop
Marketing/PR Welcome/Help Desk       Wearing Mascot Costume
Please let us know about any special skills or interests:
Reading Coach      ESL      Arts/Crafts      Computer Skills      Other
Current or past Employer:  
Please note:Background checks may be required for some postions.
Have you ever been convicted of an offense against the law other than a minor traffic violation? (A conviction does not mean you cannot be selected as a volunteer. The offense and how recently you were convicted will be evaluated in relation to the volunteer opportunity for which you are applying.) * required   Yes   No (if yes, explain fully )


Your selection as a volunteer may be contingent upon a successful background check.

May PLCMC access your police records?* required   Yes    No

What specifically would you like to contribute to the library?  
I understand that it is PLCMC’s policy to protect the privacy of those who use the library. I agree to hold information about patrons in complete confidence and to access this information only in the course of performing my volunteer assignments. In addition, I understand that a breach of confidentiality is grounds for dismissal from the volunteer services program. I also understand that background checks may be necessary for some positions. My submission of this application to PLCMC indicates an agreement with these terms and conditions.


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