| * Required fields |
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| Date: |
October 14, 2008 |
| * Name: |
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| Street Address: |
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| City: |
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| Zipcode: |
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| Daytime Phone: |
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| Evening Phone: |
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| * Email: |
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| * Emergency Contact Name: |
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| * Relationship: |
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| Emergency Contact Daytime Phone: |
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| Emergency Contact Evening Phone: |
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Are you at least 16 years
of age? |
Yes: No: |
| If not, complete Parental Consent Form |
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Relevant Experience and Characteristics – Please check all that apply
Working with children (teaching, leadership, mentoring, etc.)
Public speaking or docent/guide experience
General office experience – filing, bookkeeping, making/answering phone calls, etc.
Experience working in a library or archive
Experience working with museum collections - conservation, preservation, labeling, etc.
Retail experience - cash register, customer service, inventory, food service, etc.
Carpentry, painting, machine shop, metalworking, etc.
Computer skills; please list programs:
Fluent in language(s) other than English; please list:
Other (briefly describe):
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Other Skills/Areas of Interest– Please check all that apply
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Availability
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Do you have any special needs for which you might need accommodation in order to fulfill volunteer duties? (Please describe)
Will you consent to being photographed for an indentification badge? Yes No
Will you consent to being fingerprinted? Yes No
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Thank you for taking the time to complete this application.
We look forward to working with you!
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