Instructions
Please print, complete, and return this form to the Tiffin-Seneca Public Library for consideration as a volunteer.
About You
Last Name: _________________________ First Name: _________________________
Street Address: ______________________________________________________________
City: _______________________________ ZIP Code: __________________________
Mobile Phone: _______________________ Mobile Phone: _______________________
Email: ______________________________________________________________________
Employer / School: ____________________________________________________________
What days are you available to volunteer? Please check all that apply.
- [ ] Monday
- [ ] Tuesday
- [ ] Wednesday
- [ ] Thursday
- [ ] Friday
- [ ] Saturday
What time of day do you prefer?
- [ ] Morning
- [ ] Afternoon
- [ ] Evening
Are you an OPERS retiree or contributing employee? [ ] Yes [ ] No
Number of hours per week you are available to volunteer? _________
If you are volunteering for a school requirement, how many hours are needed? __________
What special skills, interests, or training do you have? _______________________________
___________________________________________________________________________
To best meet your needs, please describe any particular goals or expectations that you have while volunteering:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Volunteer Opportunities
Please let us know what you are interested in volunteering for by checking the appropriate boxes below:
Community Relations
- [ ] Folding & cutting promotional materials.
- [ ] Helping with special events.
- [ ] Helping to create displays under the book arch.
Circulation
- [ ] Shelving materials that have been returned. Must be able to push and pull book carts withing up to 40 lbs on a carpeted surface.
Youth Services & Teens
- [ ] Clean and sanitize toys once a week.
- [ ] Using the die cut machine for various projects.
- [ ] For teens only: Join the Teen Advisory Board
A satisfactory background check is required for individuals volunteering in the Youth Services or Teens departments.
Volunteers 18 years of age or older:
In consideration of the opportunity to volunteer with the Tiffin-Seneca Public Library, I fully and completely release TSPL, its officials, and employees from any and all claims, demands, and liability of every nature and description whatsoever and howsoever arising by reason of my being allowed to volunteer with the library. I understand that I will be covered by the library's insurance for any physical injuries that may occurring my volunteer activities. I acknowledge that any photograph or videotape taken of me participating in this this volunteer activity may be used for outreach, education, advertising or documentation purposes by the library.
By my signature below, I verify that I understand the rights, responsibilities and privileges of participation in the volunteer program and agree to hold harmless, release and indemnify the Tiffin-Seneca Public Library, its officials and employees from liability for property damage and/or personal injury resulting from my participation in this program.
Signature: _______________________________________ Date: ____________________
Volunteers under 18 years of age:
By my signature below, I verify that I am a parent or guardian of the participant and I hereby consent to his/her participation in the Tiffin-Seneca Public Library volunteer program. I also agree to indemnify, hold harmless and to release the Library, its officials and employees from any liability for property damage and/or personal injury to me or my child/ward resulting from his/her participation in the volunteer program. I acknowledge that any photograph or videotape taken of my child/ward participating in this volunteer activity may be used for outreach, education or documentation purposes by the Tiffin-Seneca Public Library.
Signature: _______________________________________ Date: ____________________