Volunteer for the Summer Reading Challenge

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Surname: *

First Name: *

Address: *

Postcode: *
	i.e. MK9 3HL
Please enter at least one Phone Number
Home Phone Number:

Mobile Phone Number:

Email: *

Age on 1/7/2019:
	You must be at least 13 years old
Do you have any medical conditions that may affect your volunteering?: *
No Yes

If yes, please tell us about them:

Why are you interested in volunteering with us?: *

Where did you hear about this volunteering opportunity?: *

Which library would you like to volunteer at?
First choice: *

Second choice: *

When are you available to volunteer?: *
Monday Morning Monday Afternoon Tuesday Morning Tuesday Afternoon Wednesday Morning Wednesday Afternoon Thursday Morning Thursday Afternoon Friday Morning Friday Afternoon Saturday Morning Saturday Afternoon

Are there any dates you are unavailable?:
	EG: Holidays booked
Are you already working towards any accreditation that we could help you with?:
	EG: Duke of Edinburgh Scheme Award
Please confirm that with reference to the Disclosure and Banning Service: *
I have not been banned from working with children or vulnerable adults.

If you are under 16 please provide parental name and contact details.:
	Email and/or phone number
.