Applicants under 18 years of age must have a parent or guardian sign this application.
Fields marked with a red asterisk (*) are required to be answered.

Personal Information


Emergency Contact

Availability

Days Available *
Shift Preference *
 
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Experiences and Skill Sets

References

Please list two people who know you and can attest to your character, skills, and dependability.
Reference 1
 
 
Reference 2

Photo/Video Release Agreement

Please check an option below. *
Applicant Signature *
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Photo/Video Release Agreement

Please check an option below. *
Applicant's Parent or Guardian Signature *
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Workers' Compensation and Hold Harmless Agreement

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING AND DATING.

I understand that nothing contained in this application is intended to create a contract for the providing of any benefit or to obligate the County of Fresno or the Fresno County Public Library in any way. If a volunteer position is established, I understand that I have the right to terminate my volunteer position for any reason at any time and the Fresno County Public Library retains the same right. No promises, statements, or representatives are binding on the County of Fresno or the Fresno County Public Library.

In consideration of the County of Fresno authorizing me to participate as a volunteer for the Fresno County Public Library, I understand that I am covered under the County of Fresno’s workers’ compensation insurance plan for medical treatment of injuries sustained while performing assigned volunteer duties. I hereby agree that workers’ compensation is my exclusive remedy and that I will indemnify and hold harmless the County of Fresno and its officers, employees and agents from any other losses, liabilities, damages, costs, actions, claims, or demands of any kind whatsoever which may arise or be in connection with my voluntary participation with the Fresno County Public Library.

Applicant Signature *
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Workers' Compensation and Hold Harmless Agreement for Minors Aged 14-17

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING AND DATING.

I understand that nothing contained in this application is intended to create a contract for the providing of any benefit or to obligate the County of Fresno or the Fresno County Public Library in any way. If a volunteer position is established, I understand that I have the right to terminate my volunteer position for any reason at any time and the Fresno County Public Library retains the same right. No promises, statements, or representatives are binding on the County of Fresno or the Fresno County Public Library.

In consideration of the County of Fresno authorizing my minor child to participate as a volunteer for the Fresno County Public Library, I understand that my child is covered under the County of Fresno’s workers’ compensation insurance plan for medical treatment of injuries sustained while performing assigned volunteer duties. I hereby agree that workers’ compensation is my exclusive remedy and that I will indemnify and hold harmless the County of Fresno and its officers, employees and agents from any other losses, liabilities, damages, costs, actions, claims, or demands of any kind whatsoever which may arise or be in connection with my child’s voluntary participation with the Fresno County Public Library.

Applicant Signature *
clear
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Applicant's Parent or Guardian Signature *
clear
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Indemnity and Hold Harmless Agreement for Minors Under the Age of 14

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING AND DATING.

I understand that nothing contained in this application is intended to create a contract for the providing of any benefit or to obligate the County of Fresno or the Fresno County Public Library in any way. If a volunteer position is established, I understand that I have the right to terminate my volunteer position for any reason at any time and the Fresno County Public Library retains the same right. No promises, statements, or representatives are binding on the County of Fresno or the Fresno County Public Library.

In consideration of the County of Fresno authorizing my minor child to participate as a volunteer for the Fresno County Public Library, I understand that my child is under 14 years of age and is not covered under the County of Fresno’s workers’ compensation plan. I hereby agree to indemnify and hold harmless the County of Fresno and its officers, employees and agents from any losses, liabilities, damages, costs, actions, claims, or demands of any kind whatsoever which may arise or be in connection with my minor child’s voluntary participation with the Fresno County Public Library.

Applicant Signature *
clear
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Applicant's Parent or Guardian Signature *
clear
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