Utica Public Library Teen Volunteer Application

Please answer all questions.

Personal Information

Name

Address

Phone #

Cell #

Age

Grade

Number of Volunteer Hours Needed

Hours Need to be Completed by (Date)

Reason for Volunteering

Please list reason

Days and Times Available to Volunteer

Name

Address

Phone #

Relationship to Volunteer

Name

Address

Phone #

By checking this box I am indicating that I am under 18 years of age and will need a parent/guardian signature before I am able to volunteer for UPL.