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Student Volunteer Application
Petawawa Public Library
Name
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First
Last
Address Information
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Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
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Singapore
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Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
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Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
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Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Email
School
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Grade
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Home Phone
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Cell Phone
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Date of Birth
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Special Skills, Interests, Hobbies, or Other Volunteer/Work Experience
Volunteer Opportunities (Select 3)
English Reading Buddies (1 hr./week)
French Reading Buddies (1 hr./week)
Children's Program Assistant (as needed)
Shelf Reading & General Tasks (1-2 hrs./week)
Craft Cutter (1-2 hrs./week)
Summer Volunteer (July-Aug daytime)
Availability
Monday evenings
Tuesday evenings
Wednesday evenings
Thursday evenings
Friday evenings (close at 6 pm.)
Saturdays (close at 5 pm.)
Summer
Regular attendance is required, although we realize that volunteers may miss an occaisional week due to exam, illness, or vacation.
Can you commit to a fairly consistent schedule?
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Yes
No
If you answered "No", please explain why.
How many hours do you need?
How did you hear about this volunteer opportunity?
Emerency Contact Person
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First
Last
Emergency Contact Person's Home Phone Number
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Emergency Contact Person's Work Phone Number
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Emergency Contact Person's Cell Phone Number
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I will respect the privacy and confidentiality of all information to which I am exposed while working as a volunteer for the Petawawa Public Library. I promise to keep confidential the private information of persons working in and using the library, including material from and about patrons and matters regarding fellow volunteers and staff members.
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volounteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
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I agree
I do not agree
I have shown this to my parent(s)/guardian and they are cool with me submitting this form.
For more information, please contact Liz Pombiere, Children's and Teen Services at 613-687-2227 ext. 2203 or kids@petawawapubliclibrary.ca.
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Yes
No
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