PCPL Volunteer Application

Please check preferred Location:

 Milford

 Dingman

 Lackawaxen

Name: (please print) 

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Mailing Address: 

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Address: 

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If mailing address is a P.O. Box number, include your street address.

City: 

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State: 

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Zip: 

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Township: 

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Telephone: 

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E-mail: 

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Emergency Contact: 

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Contact Telephone: 

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Work/Volunteer/Community Experience: 

Skills/Interests/Hobbies:

Are there any limits (physical, time, vacation, etc.) that might affect your volunteer activities?

Character References:

(1) Name: 

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Address: 

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City: 

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State: 

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Zip: 

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Telephone: 

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E-mail: 

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(2) Name: 

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Address: 

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City: 

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State: 

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Zip: 

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Telephone: 

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E-mail: 

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If under 18, parental (guardian) permission:

Please check your area(s) of interest.

 Processing Books

 Checking Overdue List

 Library-By-Mail

 Program support

 Other skills:_________________