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Apply to be a Community Ambassador

Application

Coralville residents from various cultural and life experience backgrounds are encouraged to apply to serve as members of the Community Ambassador Program (CAP).

Name(Required)
Address(Required)
How long have you lived in Coralville?(Required)
Which of the following age group are you in?
Highest level of education (optional)
Gender (optional)
How do you best describe yourself? (optional)

Background Check

The Coralville Public Library reserves the right to conduct a background check on CAP applicants. Please acknowledge your permission to conduct a background check below:
Consent(Required)
Clear Signature
MM slash DD slash YYYY
If you have been known by any other first or last names, please provide them here
MM slash DD slash YYYY
Solely for the purpose of the background check, what is the day of your birthday?

References

Name(Required)
Name(Required)