Thank you for applying to volunteer at the Library! To apply, you need a valid Palatine Public Library District Card and to be at least 14 years old. All volunteers must be fluent in English, both oral and written. Ages 11-13 may only apply for designated opportunities with written parental approval. For more information, see Policy 8-12. Personal Information First & Last Name Date Address Street, City, Zip Phone Email Address Palatine Library Card # Volunteer Interests & Skills Please list the Volunteer Opportunity/Programs you are interested in. Day and time preference (if applicable) Will your volunteer hours be used to fulfill requirements for school or another organization? All volunteers must commit to volunteering a minimum of 15 hours. The Palatine Public Library District is unable to accept court - ordered or court supervised community service. Yes No Your Age Name of Organization Number of Hours to be Completed Do you have any Special Skills that would assist you in performing your volunteer tasks? Do you have any physical limitations that need to be considered when placing you in a volunteer position? Signature Signature? I hereby apply to volunteer at the Palatine Public Library District. I certify that all statements made on this application are true and correct. If placed in a volunteer opportunity, I agree to abide by the rules of the Palatine Public Library District’s Volunteer Program. I understand that I must follow instructions given by staff, perform my tasks in a professional and timely manner, and adhere to the Library’s Privacy Policy. Failure to do so may result in my dismissal from the Volunteer Program. All volunteers 18 years and older must execute a release for a criminal background investigation and volunteering is contingent upon receipt of the criminal background investigation. Emergency Contact Name Relationship Home Phone Cell Phone Applicants Ages 11-13 Youth ages 11-13 may only apply to serve as volunteers for designated youth programs and special projects and must have written parental approval. Are you between 11-13 years old? Yes No Parent or Guardian Name Preferred Phone Contact Parent or Guardian Signature? Sign above Due to the number of volunteer applicants we receive for each volunteer opportunity, not every applicant can be placed.