Please return this application to:
Assistant Director
Hudson Library and Historical Society
96 Library Street
Hudson, Oh 44236
330-653-6658                                                                          Fax 330-653-3373 

Name _________________________________________________Date_____________

Address ________________________________________________________________

City ______________________________State __________________Zip____________

Home Phone ________________________ Work Phone_________________________

Drivers License _____________________________________________________________________

                                                (only needed  if will be driving on Library business) 

Times of Availability

Mon._________________      Tues. ________________       Wed. ___________________

Thurs. _______________        Fri. _________________       Sat. ____________________

Sun. _________________

Work Experience (paid or volunteer)

I am offering my services as a volunteer. If my offer is accepted, I will not be entitled to compensation for any services I provide. I understand that tasks will be assigned on the basis of library needs and requirements and that if I do not complete the tasks to library standards the volunteer relationship can be terminated 

Signature _____________________________________________ Date ______________

Parental Permission 

If you are under 16 please have a parent/legal guardian sign the following permission form:

I (Print) ________________________________________________parent/legal guardian, grant permission for (print) ___________________________________

to volunteer at the Hudson Library and Historical Society.

Patent/Legal Guardian Signature: ___________________________Date _____________