WESTERN COUNTIES REGIONAL LIBRARY

Volunteer Application Form

Name:        _____________________________________________

Address:    ____________________________________________________________________________________

Tel. No.:    _____________________________________________

Email address:    _____________________________________________

Educational background:

Volunteer experience:

Paid experience:

Special skills / interests:

Days and hours available to volunteer:

Kind of work you would like to do:

Do you drive?                              Is car available?

Personal References (List two persons giving address and telephone number.)

1)

2)

Signature:  ___________________________________________   Date:  _______________________