Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Address

This helps us get an idea of where our volunteers are located throughout the KCLS service area

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name *

First Name

Last Name

Emergency Contact Number *

(###)

###

####

Are you available for the entire volunteer 3:00pm - 9pm? *

Yes

No

After your main volunteer role, could you help us out during the program as support during the Moment of Giving? *

Yes

No

Have you volunteered at the Literary Lions Gala before? *

Yes

No

If you are volunteering with someone and would like to be assigned to the same role/location, we will do our best to fulfill your request. Please let us know their name.

First Name

Last Name

Are you available the week of the gala (March 12-14th) to help with any event prep? This would take place at the Bellevue Library.

Yes

No

Our virtual volunteer orientation will be held the week of the gala (likely Wednesday, March 12th) and will be no more than 1 hour. Would you be available to attend VIRTUALLY at

12:00 PM

5:30 PM