Fullname:

Date of birth:

How old are you?

Home Address:

Zip code:

Parent or guardian Name:

Daytime phone:

Evening phone:

e-Mail address:(Please print clearly)

Grade you will be when school begins: 8 9 10 11 12

1. How did you hear/learn about the Summer Youth Volunteer Program at the Library?

Internet Friend Library Flyer Volunteered before Other:

2. Why do you wish to volunteer at the Austin Public Library?

3. Have you volunteered with other organizations? If yes, please list and provide what duties you performed.

A.

B.

C.

4. Have you ever volunteered with the Austin Public Library? If so, which location? What were your duties?

A.

B.

C.

5. Do you have any other commitments this summer? For example: employment, summer classes or camp. If so, please list dates and times you will be attending.

A.

B.

C.

6. Choose three Library locations where you would be able to volunteer.

a.

b.

c.

7. What days are you available to volunteer?
Monday Tuesday Wednesday Thursday Friday

What times are you available to volunteer?
(Summer Youth Volunteers normally volunteer 2-3 hours once or twice a week.)
Mornings between 8 a.m. and 12 noon Afternoons between 5 and 9 p.m.

8. Do you have experience working with young children?
yes
no

If so please provide details.

9. Do you feel comfortable working with large groups of people and giving them direction

10. Do you feel comfortable approaching and speaking to adults?

11. Do you enjoy working with your hands, such as making arts and crafts?

12. What experience do you have with

13. Would you enjoy writing reviews from books you read over the summer for other's to read?

14. What is the last book you read?

By completing this application, I wish to be considered for a position as a Summer Youth Volunteer with the Austin Public Library. I understand that completion of this application does not guarantee acceptance into the program.

If accepted into the Summer Youth Volunteer Program I understand that I must attend one of the following training sessions and undergo a background check.

Please choose one:

Thursday, May 29, 2008, 6 p.m. (location to be announced)
Friday, June 6, 2008, 4 p.m., (location to be announced)

I, _____________________________, as parent/guardian of _____________________________, do hereby release and hold harmless the Austin Public Library and agree to indemnify and hold harmless the City of Austin from any and all liability, claims or causes of action that may arise for any accidents, injuries, or illness that may occur to my child from his/her participation in the Summer Youth Volunteer Program. I waive any right of action I have against the City of Austin in consideration of my child's participation as a volunteer for the City. I also agree that the Austin Public Library has permission to use my child's photograph or videotaped image in publicity about the Library system activities.

I, _____________________________, understand that in my capacity as a City of Austin volunteer, I may come into contact with confidential information. I agree to protect this information to the best of my abilities as a volunteer and not to divulge it during or after my service as a volunteer has ended.

Date:

Parent\Guardian Printed Name:

Parent\Guardian Signature:

Youth Printed Name:

Youth Signature: