*Indicates required field

Book Buddies and Tutoring For Kids Application Form

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

First name *

Last name *

Email address *

Address *

Phone number *

Date of birth *

Languages Spoken (in addition to English)

Grade *

School *

Emergency contact name *

Emergency contact phone number *

Have you ever volunteered at the Port Moody Public Library?

Yes

When did you volunteer and for which program?

Why would you like to volunteer at the Library? *

Tell us about any relevant volunteer and/or work experience you have. *

Volunteer Opportunities

Please select the program(s) you are applying for.

Book Buddies (Mondays, 4:00–5:00pm)

Book Buddies (Tuesdays, 4:00–5:00pm)

Tutoring for Kids (Wednesdays, 4:00–5:00pm)

Tutoring for Kids (Thursdays, 4:00–5:00pm)

References

Ages 13+ only: Please provide the name and phone number of one adult reference (non-family) who can be reached during regular business hours.

Reference: Name *

Reference phone number *

I declare the information provided to be true and complete, and authorize the Port Moody Public Library to obtain references from those named above.

Agree

Disagree

Parental Acknowledgement

To be completed by a parent or guardian for volunteer applicants under the age of 19 years.

Name of parent/guardian *

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.

Agree

Disagree

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.

Yes, I give permission.

No, I do not give permission.

Book Buddies and Tutoring For Kids Application Form

Personal Information

Volunteer Opportunities

References

Parental Acknowledgement

Port Moody Library Newsletter