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Name (Last, First MI):

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Name (Last, First MI):

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Address:

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Address:

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Phone:

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Phone:ext.

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Email:

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Email:

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What is your date of birth? We ask volunteers be at least 18 years old.

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What is your date of birth? We ask volunteers be at least 18 years old.

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Select the days you can be available for volunteer work:

Select the days you can be available for volunteer work:

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

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Do you have specific skills or experience you would like to share in your volunteer work?

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Do you have specific skills or experience you would like to share in your volunteer work?

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What areas of volunteer work are you interested in?

What areas of volunteer work are you interested in?

FRIENDS OF THE LIBRARY is our support organization that operates book sale services to fund select library initiatives. This primarily involves assisting in operating the book sale room and our twice annual book sale events.	COMMUNITY ENGAGEMENT plans and facilitates our public programs and outreach. Contributing to this group may include craft preparation, program setup and take down, assisting in program execution, and maintaining library displays.
TECHNICAL SERVICES handles much of the collection work needed for our library to operate. Contributing to this group may include mending books and cleaning DVDs, shelf reading to identify misplaced items, withdrawing library materials, receiving new materials, keeping our serial collection current, using reports to locate and pull items on our shelves, and shelving returned items.	USER EXPERIENCE maintains the patron experience in the library. Contributing to this group may include receiving and sorting returned material through our automatic book handler, maintaining a clean and uncluttered library environment, assisting patrons in finding library materials, using reports to locate and pull items on our shelves, and shelving returned items.
THERAPY DOGS support our early literacy programming by sharing a collection of friendly dogs for kids to read to. Therapy dog volunteers must be registered with an official therapy dog organization, such as Go Team Therapy Dogs, and be able to verify this registration along with their dog's vaccination records.

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Criminal Convictions:  Have you been convicted of a felony or released from prison within the last ten (10) years, or have you been convicted of a misdemeanor other than minor traffic offenses within the past three (3) years? Please note: all volunteers are required to complete a background check, which is administered by NCSI.

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Criminal Convictions: Have you been convicted of a felony or released from prison within the last ten (10) years, or have you been convicted of a misdemeanor other than minor traffic offenses within the past three (3) years? Please note: all volunteers are required to complete a background check, which is administered by NCSI.

Yes

No

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Criminal Convictions:  If you selected yes, please explain.

Criminal Convictions: If you selected yes, please explain.

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In case of emergency, please contact: 

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In case of emergency, please contact:

Name:

Phone:ext.

NOTICE TO VOLUNTEERS

Volunteers are not considered to be City of Richland employees. Injury Compensation is provided through the Department of Labor & Industries. Volunteer service is considered to be creditable work experience. The data furnished on this form is furnished voluntarily and will be used to contact, interview, and place volunteers.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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