Volunteer and Community Service Application

Department Applying for:
Name Name First Last
Preferred name
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date of Birth Date of Birth / MM / DD YYYY
Parent/Guardian Signature (if under 18 years of age)

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Email
Phone Phone - ### - ### ####
List any physical limitations you have that we should consider when matching you with volunteer jobs.
Reason for Service

Reason for Service Satisfy Specific Obligation General Volunteer Work
Reason for Service (Satisfy Specific Obligation)

Reason for Service (Satisfy Specific Obligation) Court Ordered School Honors Program Service Organization Requirement
Name of court that ordered the service
How many hours do you need to complete/How long do you intend to volunteer at RHPL?
Our hours are Monday-Thursday 9 a.m.-9 p.m., Friday and Saturday 9 a.m.-6 p.m., and Sundays (from September to May) 1 p.m.-6 p.m. We are closed on Sundays from June to August.

What days and times are you available? Please list a range (e.g. Monday-Friday 9-2 or Tuesdays 5:30-9 and Thursdays 9-5).

Please note that volunteer assignments are dependent on library needs.
Check here if you are only available to volunteer during the summer.

Check here if you are only available to volunteer during the summer.
When can you start?