2. The Lawrence Public Library receives numerous volunteer applications. Each volunteer requires training and supervision by staff members, limiting the number of applicants we are able to accept. You will be contacted ONLY IF a position becomes available and your application has been accepted.
4. Name
5. Date of Birth
   Date of Birth
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
14. Email Address
16. If over the age of 18, you must provide a copy of your Picture I.D and complete a C.O.R.I Request Form, available at the Reference Desk.
18. Languages spoken/understood:
20. In case of emergency, contact:
21. Phone Number:
23. Relationship to Volunteer:
25. Availability:

    1. Monday
    2. Tuesday
    3. Wednesday

    1. Thursday
    2. Friday
27. Monday To - From
28. Tuesday To - From
29. Wednesday To - From
30. Thursday To - From
32. Friday To - From
34. Time commitment:
    Hours per week you are able to volunteer
36. Are your volunteer hours for community service?

    1. Yes
    2. No
37. For what organization:
39. How many hours are required?
40. What is the deadline?
42. In what department are you interested in volunteering? Please rate your interest from 1 – 4, 4 meaning most interested 1 meaning least interested.
44. Teen Corner
45. Children’s Room
46. Administration
47. Reference
49. Custodial
50. Computer Lab
51. Other, Please Specify:
53. Acknowledgment and Signature: I certify that my answers are true and complete to the best of my knowledge. I commit to communicating any changes to the Library in my availability. I also agree to follow the city’s dress code policy when completing my volunteer hours.
55. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
57. Electronic Signature
59. For Administrative Use Only:
61. Application

    1. Accepted

    1. Not Accepted
62. Notes:
Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit Submit and Print

* indicates a required field