Volunteer Program Application

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Name:

Date:

Address:

City: Zip:

Phone:

Email:

What is the best way to contact you? Phone Email


Scheduling

Can you commit to volunteer regularly (2 - 4 times per month) for one year? Yes No

If no, please give further details:

 

 


Interests

Which of the following are you interested in doing?

Education Program Instructor
Exhibit Hall Interpreter
Visitor Services
Collections/Research


Highest Level of Education Completed?

High School
Associate's Degree
Bachelor's Degree
Master's Degree
Ph.D.

Major

Minor


Volunteer and/or relevant work experience

Special interests, skills, hobbies, areas of expertise

What are your goals in volunteering at the museum? (i.e., work experience, personal interest, school credit, or other)

How did you hear about volunteering at the museum?


Are you currently employed or a student?
Employed full time
Employed part time
Full time student
Part time student
Unemployed
Retired


Have you ever been convited of a felony?

Yes No

If yes, please explain:


Please list two personal references:

Name:
Phone:
Relationship:
Name:
Phone:
Relationship:

Emergency contact:

Name:
Phone:
Relationship:
Address:
City/State:
Zip:

Health Concerns (anything staff should know in case of emergency)