Volunteer: Application and Information
Date__________________
Name
_______________________________________________Birth date_____________
Address__________________________________________________Zip______________
Phone # Hm
___________________ other __________________
E-mail
____________________________________________________________________
Emergency
contact: _________________________________Phone #s________________
PLEASE LIST IN
DETAIL:
Volunteer activities you would feel most comfortable with:
___________________________________________________________________________
___________________________________________________________________________
Any past experience with above activities:
(education, employment, personal experience).
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Days of the week
and hours when you will be available: (if you are applying for the
Summer Teachers in Training Program you must be available for an entire session
m – f).
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Reference (not a relative)____________________________________Phone_____________
We are required
to run a simple background check on those over 16 years of age.
We will need their SS#____________________ to do this.
Parents of those under the age of 18 must give permission for their child to
volunteer at the Living Arts and Science Center by signing below.
Parent or guardian signature__________________________________________
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