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Online Volunteer Application

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Occupation:
Daytime Phone:
Email Address:
Education:	(i.e. High School, College, Graduate Work)
	How did you hear about the Volunteer Program at the Library for the Blind and Disabled?
	Have you had any other volunteer experience? If so, list the organization(s).
Best time to call?	Morning Afternoon
Would prefer to volunteer:	Morning Afternoon
Preferred days to volunteer:
	What do you prefer to read?
	Do you speak any foreign languages? If so, please indicate:

James Shulfer, Volunteer Coordinator Utah State Library for the Blind and Disabled 250 North 1950 West, Suite A Salt Lake City, UT 84116-7901