Introduction *Indicates required field Fill out this form to apply to become a volunteer at the Port Moody Public Library's Book Buddies and Tutoring for Kids programs. Personal Information Name First name * Last name * Address Address * Address 2 City / Town * Postal code * Phone number * Email Email * Confirm email * Date of birth * Languages spoken * (in addition to English) Grade * - Select - Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 School * Emergency contact name * Emergency contact phone number * Tell us about any relevant volunteer and/or work experience you have * Why would you like to volunteer at the Library? * Have you ever volunteered at the Port Moody Public Library? Yes No Current Volunteer Opportunities Please select the program(s) you are applying for * - Select - Book Buddies (Tuesdays, 4:00-5:00pm) Tutoring for Kids (Wednesdays, 4:00-5:00pm) References Please provide the name and phone number of two adult references (non-family) who can be reached during regular business hours. Reference #1: Name * Reference #1: Phone number * Reference #2: Name * Reference #2: Phone number * I understand that to ensure the safety of library customers, I will be asked to complete a Police Records Check at no cost to myself if selected as a volunteer * I declare the information provided to be true and complete, and authorize the Port Moody Public Library to obtain references from those named above * Parental acknowledgement To be completed by a parent or guardian for volunteer applicants under the age of 19 years Name of parent / guardian First name * Last name * I acknowledge that my child has applied as a teen volunteer with the Port Moody Public Library, and the volunteer recruitment process includes a police record check and the collection of personal information * Photo releases: I give permission to use images of my child for promotional, editorial, advertising or marketing purposes. Photos may be in any medium, including, but not limited to: print, newspaper, magazine, Library's website or social media sites * Privacy policy headlineThis is where the privacy policy goes. Submit Leave this field blank Print Share
