Bettendorf Public Library Volunteer Application

Name (Last, First)

Street Address

City, State

Preferred Method of Communication

Phone
Email

Email Address

Phone Number

Phone Type

Home
Cell
Work

Age

Under 18
18 and Over

Educational Level

Elementary
High School
College/Upper Level

What was your last grade/level completed?

Is your interest related to a scouting, church, school, or service learning project?

Yes
No

If Yes, please describe the organization, hours needed, and deadline for the completion

Are you seeking to fulfill mandated community service assigned by the courts or city attorney?

Yes
No

If Yes, please describe the nature of your offense, hours needed, and deadline for completion

Please describe any physical limitations that may restrict assignments

What times are you available to volunteer? (Most volunteer opportunities are available M-F, 9AM-5PM. On occasion there are weekend or evening assignments)

Describe any volunteer work you have done previously

The Skills and time that volunteers offer are assets to library services. Once your application is received, the Library's Volunteer Coordinator will contact you. If preliminary conversation indicates that we might be able to work together, an interview will be scheduled. The interview is a chance to learn about volunteer opportunities at the Library and to determine if your skills and availability can be matched with a current need at the Library. Neither interview nor placement is guaranteed. Prior to actual placement, all applicants are required to give permission for a criminal history and background check. Failure to do so will result in immediate removal from the application process. Applicants under 18 will be required to submit parental consent upon request.

I have read the above statement and certify that all of the information contained in this application is true and complete to the best of my knowledge.

Yes
No

Please allow up to two weeks for your application to be processed and a response made. If you need more information, please contact Mark Fitkin, Volunteer and Outreach Coordinator, at 563-344-4187, or This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

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Bettendorf Public Library Volunteer Application