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2. Name*
4. Address*
6. City*
7. State*
8. Zip Code*
10. Phone Number*
11. Email Address*
15. Availability (Write available times for each day)
17. Monday
18. Tuesday
19. Wednesday
20. Thursday
22. Friday
23. Saturday
25. Library Location(s) of Volunteer Interest*

    1. American Caynon

    1. Calistoga

    1. Napa Main

    1. Yountville
29. Examples of Volunteer Interest Include (Mark all the apply):*

    1. Literacy Front Desk Support
    2. Marketing Support/Social Media
    3. Grandparents and Books
    4. Adult Literacy Tutoring
    5. Fundraising/Grant Writing

    1. Assist with Program Setup
    2. Mending Books
    3. Library Ambassador/Attend Community Events
    4. Friends of the Library/Assist with Book Sales
    5. Coaching/Homework Help for Children
31. List any additional skills or areas of interest:
33. What age group are you interested in working with?
35. Are you comfortable speaking in public?
37. Do you have a talent or hobby you would like to share?
39. Would you like to teach a workshop on a specific subject?
43. 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.
45. Applicant Signature*
46. Date*
    Date
48. May we take your photograph while performing volunteer duties? Photographs will be used for library promotion in print and online.*

    1. Yes

    1. No
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field