Everett Roehl Marshfield Public Library Volunteer Form
Thank you for your interest in supporting the Marshfield Public Library volunteer program. Please complete the following questions.
Contact Information:
First Name:
MI
Last Name:
Address:
Address Line 2:
City/Town:
State:
Please select...
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ME
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MA
MI
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OR
PA
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SC
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TN
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UT
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VA
WA
WV
WI
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Primary Phone:
Secondary Phone:
Email:
Birth Date:
Availability (check all that apply):
Mornings
Evenings
Weekends
Other
If Other Please Add Availability Here.....
Do you have any physical limitations or medical conditions we should consider in job assignment?
Emergency Contact
First Name
MI
Last Name
Relationship
Phone
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