2. Submit an application for the 2022/2023 School Year Volunteer Program between August 2022 - May 2023.

   Use this form to apply to be a teen volunteer at the library. The volunteer program runs between August 2022 and May 2023. 

   Teens earn community service hours for participating.

4. Name (First and Last)*
6. Date of Birth*
8. Address*
10. City*
11. Zip Code*
13. Gender*

    1. Male
    2. Female
15. Home Phone*
17. Email Address*
19. Paren/Legal Guardian Name*
21. Parent/Legal Guardian Phone*
23. Where do you attend high school?*
25. Grade Level*
27. Current age
    -- Select One --131415161718

    You must be at least 13 years old to volunteer.

29. Have you had previous volunteer experience?*
    -- Select One --YesNo
31. How did you hear about the program?*

    (School, organization, website, flyer, referral, etc.)

35. VOLUNTEER HISTORY

    If you selected "Yes", please answer the following questions:

37. [1] Name of organization:
39. [1] What did you do as a volunteer?
41. [2] Name of organization:
45. [2] What did you do as a volunteer?
47. What are your interests and skills?*
49. Why do you want to volunteer at the DeSoto Public Library?*
51. Describe any past volunteer experience you have had:*
53. Library Volunteer Assignments*

    Tell us where you would like to be assigned. Check all that apply.

    1. Teen Programs (Plan and participate in plan programs and activities)
    2. Library shelver
    3. Teen Techie
    4. Library special programs (Crafts, games, activities, set-up and cleanup)
55. Program Terms of Participation*

    • If I am selected as a Teen Volunteer, I will abide by al the rules of the DeSoto Public Library and the Teen 2022/2023 School Year Volunteer Program.
    • I understand that I am offering to volunteer free of charge.
    • I also understand that if I do not abide by all the rules of the DeSoto Public Library and the Teen 2022/2023 School Year Volunteer Program, that I will be dismissed from the program immediately.

    1. I have read and understand the terms of participation.
57. Application Signature*
59. Date:*
63. PARENT CONSENT

    Medical Emergencies Involving Minors

    In the event that a parent or legal guardian cannot be reached in a medical emergency, the DeSoto Public Library is authorized to arrange for emergency medical treatment, the cost of which will be the sole responsibility of the parent or legal guardian.

    In case of emergency, please provide 3 contacts. Include first and last name, relationship, and phone number.

65. Contact 1*
67. Contact 2*
69. Contact 3*
71. Medical Conditions*

    Does your child have any medical conditions in which you would like to inform us (for example, asthma, allergies, diabetes, etc.?) If so, explain:

73. Parent/Legal Guardian Permission:*

    1. (YES) I give my permission for my child to be a teen volunteer at the DeSoto Public Library
    2. (NO) I do not give my permission for my child to be a teen volunteer at the DSoto Public Library
75. I authorize the DeSoto Public Library to arrange emergency medical treatment, in case of an emergency. I understand that my son/daughter will not receive monetary compensation or be insured by the library.

    Please provide your name and date below.

77. Parent/Legal Guardian Signature:*
79. Date:*
83. Selection and Contact Info

    The Volunteer Coordinator will select applications.

    
    

    Selected volunteers must abide by the Teen 2022/2023 School Year Volunteer Program attendance policy, dress code and expected work conduct, and submit a background check. Arrangements for the final work schedule will be made by the Teen Volunteer Coordinator.

    
    

    There are only a limited number of volunteer hours and positions available! Therefore, all teens that apply are not guaranteed placement in the program. 

    
    

    For additional information contact Ms. Marq Runnels at 972-230-9663.

Leave This Blank:


85. 1. Receive an email copy of this form.
86. Email address

    This field is not part of the form submission.

87. Submit

* indicates a required field