Date:

Name of Adult(s):

Name of Child(ren) & ages: (No more than 2 children per parent may volunteer at one time)

Phone: (home) (work) (email)

School and grade of child(ren):

Why do you want to volunteer at the Olathe Public Library? (Please note: Court appointed hours are not applicable to this agency.)

Days and times you are available to volunteer:

At which location would you prefer working? Please select one.

	Main Library		Indian Creek Branch		Either
	201 E Park		12990 S Black Bob Road

Please list someone who can be reached in case of an emergency.

Name Phone

Thank you for your interest. You will be contacted for an interview when a position that matches your skills, interests, and schedule becomes available.