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Volunteer Form (Adult)

    To be completed by applicants for Adult Library Volunteer:

    Name*:

    Address*:

    Phone*:

    Email Address*:

    *How many hours each week do you want to volunteer?

    Please check those days and times you are available to volunteer:

    MondayMorningAfternoonEvening

    TuesdayMorningAfternoonEvening

    WednesdayMorningAfternoonEvening

    ThursdayMorningAfternoonEvening

    FridayMorningAfternoon

    SaturdayMorningAfternoon

    Are you able to stand for long periods of time?

    YesNo

    Tell us about yourself!

    Have you volunteered or worked at the Richmond Heights Library before?*

    YesNo

    Tell us about your work and/or volunteer history:

    1. Company Name:

    Address:

    Telephone:

    Job Title:

    Supervisor Name:

    Length of Service:

    2. Company Name:

    Address:

    Telephone:

    Job Title:

    Supervisor Name:

    Length of Service:

    Tell us why you are interested in volunteering with the Richmond Heights Memorial Library.

    What is your highest level of education completed?*

    High school or equivalentBA/BSMasters or above

    What are your interests? Hobbies?

    Emergency Contact Information

    Name*:

    Phone*:

    Relationship*:

    List three references, other than relatives or significant others, whom you have known at least one year:

    Name*:

    Phone*:

    Address*:

    Name*:

    Phone*:

    Address*:

    Name*:

    Phone*:

    Address*:

    Consent given for volunteer's photographic image to be published in promotional materials of the Richmond Heights Memorial Library. This may include but is not limited to newsletters, advertisements, and the RHML social media pages and website.

    Please check one: YesNo

    Have you ever been convicted of a felony?*

    YesNo

    If yes, please elaborate on another paper and include with a completed background check form to:

    Richmond Heights Memorial Library

    8001 Dale Ave.

    Richmond Heights, MO 63117

    Or email: info@rhmlibrary.org

    Please check the following boxes to indicate your agreement with the following:


    Volunteers perform tasks for the Richmond Heights Memorial Library without wages, benefits, or compensation of any kind.*

    Volunteers are recognized by the public as representatives of the library and shall be guided by the same work and behavior codes as employees.*

    The library does not provide Workers Compensation coverage for volunteers.*

    Volunteers are selected based upon their qualifications and the needs of the library at any given time.*

    All requests for community service volunteer work will be considered on a case by case basis.*

    Volunteers are not to use their positions for unauthorized personal gain.*

    I certify that I have answered and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by the Richmond Heights Memorial Library and that misrepresentation or omissions may be cause for my immediate rejection as an applicant or my termination as a volunteer.

    All applicants 18 years and older are required to complete a background check which is paid for by the Library. All information supplied to the Library is kept confidential. All volunteers are subject to the Use of Volunteers Policy C-002.

    Your electronic signature:

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