Volunteer Form

Personal information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of responding to your request to be a volunteer. Any questions related to the collection of this information should be directed to the Director of Support Services, One The Esplanade, Pickering, ON L1V 2R6, 905.831.6265.

Volunteer Position*
- Teen Advisory Group (TAG)
- Children's Program Helper (CPH)
Name*
First Last
Pickering Public Library Card*
Address*
Street Address City ZIP / Postal Code
Email*
Phone Number*
Youth - Check if in Grade 8 - 12
- Yes
Are you over the age of 18?*
Are you currently over the age of 18 or will you be over the age of 18 within 1 month of this submission?
- Yes
- No
If you are a youth, what grade are you in?
If you are a youth, what school do you attend?
Why would you like to volunteer at the library?*
Related Experience (Working with children, babysitting, student government, school clubs, courses, etc.)*
What teen programs at the Pickering Public Library have you attended in the past year?
Availability to Volunteer - Please list in detail when you can and cannot volunteer.*
Example: Not Mondays or Tuesdays but any other time or After 4pm Monday to Friday and anytime Saturdays but not Sundays. etc.
Emergency Contact Name*
First Last
Relation*
Relation of the Emergency Contact to the volunteer
Emergency Contact Phone Number*
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Email
This field is for validation purposes and should be left unchanged.

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