Teen Volunteer Application Form

Fill out this form to apply to become a volunteer at the Port Moody Public Library's Book Buddies, Homework Help, and Code Buddies programs.

Personal Information

First Name

Last name

Address

City

Postal Code

Phone number

Email

Date of birth

Languages Spoken (in addition to English)

School

Emergency Contact Name:

Emergency Contact Phone Number

Have you ever volunteered at the Port Moody Public Library?

Yes

No

Why would you like to volunteer at the Library?

Tell us about any relevant volunteer and/or work experience you have.

Current Volunteer Opportunities

Which program are you applying for? Note: Book Buddies and Tutoring are currently not accepting new volunteers.

Code Buddies (In-person): Fall 2024, Thursdays, 5:15-6:15pm

References

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

Reference #1: Name

Reference #1: Phone Number

Reference #2: Name

Reference #2: Phone Number

I declare the information provided to be true and complete, and authorize the Port Moody Public Library to obtain references from those named above.

Agree

Disagree

I understand that to ensure the safety of library customers, I will be asked to complete a Police Records Check at no cost to myself if selected as a volunteer.

Agree

Disagree

Parental Acknowledgement

To be completed by a parent or guardian for volunteer applicants under the age of 19 years.

Name of parent/guardian

I acknowledge that my child has applied as a teen volunteer with the Port Moody Public Library, and the volunteer recruitment process includes a police record check and the collection of personal information.

Agree

Disagree

Photo releases: I give permission to use images of my child for promotional, editorial, advertising or marketing purposes. Photos may be in any medium, including, but not limited to: print, newspaper, magazine, Library's website or social media sites.

Yes, I give permission.

No, I do not give permission.

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Teen Volunteer Application Form

Personal Information

Current Volunteer Opportunities

References

Parental Acknowledgement