Volunteer Application

Our volunteers make a difference in the lives of so many. It is through the efforts of our volunteers that Hamilton Public Library is able to offer such valued service to our customers.

Last Name *

First Name *

Address *

City *

Postal Code *

Phone Number *

Email Address *

Please provide us with your emergency contact information. In case of emergency, who can we call for assistance.

Emergency Contact Name *

Emergency Contact Phone *

Date of Birth *

Month

Day

Year

Age *

I am 18 years of age or older

I am less than 18 years of age

Gender

Languages Spoken or Understood

Highest Level of Education obtained

Work Experience

Volunteer Experience

Have you ever volunteered with the Hamilton Public Library? *

Yes

What program(s) are you interested in becoming a volunteer for?

Adult Opportunities (19 and older)

Youth Opportunities (14 and older)

Adult Opportunities

ESL Tutoring

Visiting Library Service

References

Please provide us with the name and phone number of two references (non-family) who can be reached during regular business hours.

Name

Phone

Name

Phone

Declaration

I declare the above information to be true and complete, and authorize the Hamilton Public Library to solicit references from those named above.

I understand that all Visiting Library Service Volunteers are required to provide a Police Vulnerable Sector Check (PVSC), dated within the late twelve (12) months prior to starting. I understand that all other volunteers ages eighteen (18) and older are required to provide a Criminal Record and Judicial Matters Check, dated within the last twelve months, within the first thirty (30) days of volunteering with any other volunteer program at the Hamilton Public Library. The Hamilton Public Library will reimburse the cost of the Police Check upon completion of three (3) months of volunteer service and the submission of the original receipt.

I understand that ESL tutors and their students must meet in the library or other public place. (The Government of Canada provides funding to support this initiative)

Accept *

Decline

Confidentiality Agreement

I understand that it is the policy of the Hamilton Public Library to protect the privacy of those who use the library and I agree to hold all information about customers in confidence. In addition, I understand that a breach of confidentiality is immediate grounds for dismissal as a volunteer.
The Hamilton Public Library will immediately terminate this Volunteer Contract should the volunteer be involved in any inappropriate conduct.

Code of Conduct *

Yes

Why would you like to volunteer with Hamilton Public Library? *

_{Personal information on this form is collected under the authority of the Freedom of Information and Protection of Privacy Act 1989 and shall not be used or disclosed for purposes other than determining eligibility and suitability for volunteering at the Hamilton Public Library. Personal information shall be retained only for the period of time required to fulfill the purposes for which it was collected. Personal information shall be protected by safeguards that are appropriate for the sensitivity of the information collected. Questions regarding the collection of this information should be directed to the Chief Librarian.}

Volunteer Application

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