East Islip Public Library

Volunteer Worksheet

NAME:_________________________________________________________________

ADDRESS:_____________________________________________________________

TELEPHONE #:_________________________ GRADE:_____________________

SCHOOL:______________________________________________________________

ORGANIZATION:_______________________________________________________

SERVICE

DATE IN OUT DUTIES

_______________ __________ __________ __________________

_______________ __________ ___________ __________________

_______________ __________ ___________ __________________

_______________ __________ ___________ __________________

_______________ __________ ___________ __________________

_______________ __________ ___________ __________________