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Learning Lab Instructor Registration Form

  1. Learning Lab Instructor Registration Form
    This information is confidential and will be kept in the Billings Public Library Learning Lab database so that our staff knows what you are able to teach. When teens express an interest in a topic you list, you will be contacted to schedule a workshop or a series. We utilize background checks for all people working with minors. When we run the background check, we will contact you to request your Social Security Number.
  2. How many students would you be comfortable teaching?*
  3. Is there a time of year that is best for you to teach? Check all that apply.*
  4. What time of day are you available to teach?*
  5. Have you ever been arrested and / or convicted of a crime?*
  6. Please read the following and indicate "yes" or "no".
  7. As an applicant for a volunteer position with Billings Public Library, I hereby expressly authorize release of any information a reference may have concerning me, including information of a confidential or privileged nature. I hereby release any organization, company, institution or person furnishing the information requested. I authorize the use of duplicated copies of this form to serve as the original.*
  8. For the purpose of in-house security, I consent to a criminal history check, background investigation and drug screening prior to volunteering.*
  9. I certify that the foregoing answers and all supplemental documents are correct and that false information may result in denial and/or dismissal. If offered a volunteer position, I will abide by the Policies, Practices and Procedures of Billings Public Library and the City of Billings.*
  10. Billings Public Library reserves the right to refuse services based on objective criteria other than the following: gender, race, religion, sexual orientation, and familial status.
  11. Leave This Blank:

  12. This field is not part of the form submission.