Volunteer Application - Manheim Township Public Library

Name*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

How do you prefer to be contacted?*

Phone

Email

Is this application in response to a need for court-ordered community service hours?*

Yes

No

Thank you for your interest. We are unable to accommodate court-ordered community service hours in our volunteer program.

Emergency Contact

Name*

First Last

Relationship

Phone*

Secondary Phone

References

Name*

First Last

Phone*

Email

Name*

First Last

Phone*

Email

All volunteers over the age of 18 must submit a Criminal Record Check and a PA Child Abuse History Clearance, as well as fingerprint-based Federal Criminal History background check. If you have lived in PA for 10 consecutive years, rather than pursue the fingerprint based background check, you can sign and submit the Disclosure Statement.

Volunteer Acknowledgement

I certify that all answers given by me are true, accurate, and complete. I authorize the investigation of statements and information contained in this application. I release from liability anyone supplying such information and I also release Manheim Township Public Library from all liability that might result from making an investigation. I acknowledge that I have reach and understand the above statements and herby grant permission to confirm the information supplied on this application by me.

My printed name in the signature field below signifies that as a volunteer of Manheim Township Public Library I agree to abide by all the policies of the Library. I understand that I am not an employee; my intent is to render my services to the Library voluntarily.

I agree to the Volunteer Acknowledgement

Signature*

Date*

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

Thank you for your interest. We are unable to accommodate court-ordered community service hours in our volunteer program.

Availability

Emergency Contact

References