Volunteer Application Form

Date

APPLICANT CONTACT INFORMATION

Name

First

Last

Date of Birth

Address

City

State/Province

Zip/Postal

Best Phone Number

Are you 18 years or older?

Yes

If no, please provide Date of Birth:

Please note that if you are under the age of 18, we will require a signature of a parent or guardian.

EDUCATION

Highest Degree Attained

Major

Institution

Are you currently attending school?

Yes

If yes, please provide the school name

EMPLOYMENT

Are you currently employed?

Yes

If yes, please provide the name of your current employer

Special Skills and/or Qualifications

Summarize any special skills and/or qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies and sports.

Previous Volunteer Experience

Please tell us about your volunteer experiences.

Emergency Contact Information

Name

First

Last

Address

City

State/Province

Zip/Postal

Phone

Criminal Background Check

Have you ever been convicted of a crime other than a traffic violation?

Yes

If yes, what was the charge? Include the date of the charge and location.

Are there any legal charges pending against you?

Yes

If yes, please explain.

Do you consent to a criminal history background check?

Yes

AUTHORIZATION AND AGREEMENT BY APPLICANT

I certify that the facts set for in this volunteer application are true and complete to the best of my knowledge. I understand that any false statement, omission or misrepresentation in my application or placement interview may result in the rejection of my application or discharge from the volunteer program.

I consent to having REACH Museum complete a criminal background check prior to volunteering.

Date

Signature of Applicant

Date

Parent/Guardian Signature (required if under the age of 18)

REFERENCES

Please list three (3) references other than relatives.

Name

First

Last

Address

City

State/Province

Zip/Postal

Phone

Name

First

Last

Address

City

State/Province

Zip/Postal

Phone

Name

First

Last

Address

City

State/Province

Zip/Postal

Phone

If you are human, leave this field blank.

Volunteer Application Form

Thank you for your interest in volunteering at the REACH Museum!

APPLICANT CONTACT INFORMATION

EDUCATION

EMPLOYMENT

Let us know what areas you are interested in volunteering

Special Skills and/or Qualifications

Previous Volunteer Experience

Emergency Contact Information

Criminal Background Check

AUTHORIZATION AND AGREEMENT BY APPLICANT

REFERENCES

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