Innovation Lab

LIBRARY LOCATION: Main Library

CONTACT INFORMATION: 

First Name: Middle: Last:

Address: 

City: State: Zip Code:

Phone: (Day) (Evening)

E-mail Address:

Date of Birth: Month Day Year

Emergency Contact Name:

Emergency Contact Phone Number:

Do you have any limitations you wish us to know about?

EDUCATION: Check all that apply to you.

List any other educational or volunteer experience you would like us to know about:

EXPERIENCE: Some companies make charitable donations to non-profit organizations if employees retired or active and/or their immediate family members volunteer.

Occupation:

Current Employer: Title:

Retired from: Title:

Spouse's employer:

Parent or Guardian's employer:

VOLUNTEER INTERESTS: Check which topics interest you the most:

TIME PREFERENCES: At what times are you interested in volunteering?  Check all that apply.

Flexible
Weekdays
Weekends
Evenings
Daytime
Other

Please list any times that you are unable to volunteer:

REFERRAL: How did you hear about us?  Check all that apply.

Library user
Friends/Family
School Community Service Requirement
Public Service Required by Court
Other:

Why would you like to volunteer with the Louisville Free Public Library?

If you are volunteering for credit for a school, business or organization, or if you are volunteering on behalf of an organization, what is the name of the organization?

Thank you for taking the time to give us this information.  The Louisville Free Public Library will hold all personal information in strict confidence, but your volunteer hours are tracked and may be shared with the Library Foundation for donation requests with employers. 

The Library reserves the right to screen and select volunteers based on aptitude and library needs, as well as to determine all volunteer placements and job assignments.  A worker's compensation form and a form authorizing a criminal records check will need to be filled out at the Main Library before working as a volunteer. 

We look forward to working with you!