Forest Park Civic Association Membership Application

Springfield Public Library A NEW BEGINNING !
Volunteer Staff Registration

(Please fill out the form and then click on submit to send it.)

Name (First and Last)
Street Address:
Street Address:
City:	State: Postal Code:

Home Phone:
Business Phone:
Email address:

I would prefer to work at (check as many as you like):
Main Library	East Forest Park	Forest Park	Liberty Heights	Pine Point
Brightwood	East Springfield	Indian Orchard	Mason Square	Sixteen Acres

If needed, I could sometimes work at (check as many as you like):
Main Library	East Forest Park	Forest Park	Liberty Heights	Pine Point
Brightwood	East Springfield	Indian Orchard	Mason Square	Sixteen Acres

I have experience with, and can contribute (check all that apply):
Office Work
Computer/Network Maintenance
Circulation
Reading to/ Creating Activities for Young Children
Teaching/Tutoring/Homework Help (subject, level?)
Landscaping
Outside Maintenance
Inside Maintenance
Bindery/Conservation
Reference/Research
Shelving books
Fundraising, proposal writing
Community Outreach
Other: (please specify)
If someone will teach me, I would like to learn:

I usually prefer:	stability in my work	variety in my work

I prefer to work (check all that apply):
Mornings	Afternoons	Evenings	Full shift	School hours only
Mondays	Tuesdays	Wednesdays	Thursdays	Fridays
Saturdays	Sundays	A mixture	On-call as needed

I can work:
Every day	Twice a week	Once a week	Twice a month	Once a month
Fill-in only	On-call	Other (explain)
If I have advance notice, I can sometimes do extra.

Please feel free to use the space below for any additional comments, information, or suggestions!