Required fields are marked with *. For more information, please contact the library at 706-613-3650 ext 342.
*Date of Birth:
How would you prefer to be contacted about volunteering? Phone Email
Education (select last year completed):
*Is this volunteer activity/service in conjunction with a school organization or program?Yes No
If yes, what program or organization?
*Have you been convicted of a felony in the past 10 years which has not been annulled, expunged or sealed by court?
If yes, please explain:
*Please indicate any area in which you would be interested in volunteering:
If you chose "Other," please describe your interest:
Are you proficient in any languages other than English? Yes No
Please list any computer skills you possess:
In case of an emergency, who should we contact?
Relationship to you:
Please read the following and check the "I agree" box. If you are asked to volunteer, you will be expected to sign and date a copy of this form when you arrive for training.
In connection with my voluntary involvement in activities undertaken for, and with the participation and support of the Athens-Clarke County Libraries, I (or child's parent or legal guardian) hereby agree, for myself, my heirs, assigns, executors, and administrators to release, discharge, and hold harmless Athens-Clarke County Libraries and its employees, agents, and volunteers from all claims, demands, actions or any cause or suit arising from injuries sustained to my person and/or property as a result of my involvement in such activities, whether or not resulting from negligence. I hereby attest that my attendance and involvement in such activities is voluntary, that I am participating at my own risk, and that I have read the foregoing terms and conditions of this release. In addition, I agree to keep confidential any patron information or library records I may encounter. I understand that the Athens-Clarke County Libraries do not provide medical coverage for volunteers. If qualified for volunteer service, I agree to abide by the rules and regulations of the Athens-Clarke County Libraries.
* I agree.
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