Online Adult Volunteer Application
Online Application for Adult Volunteers
Personal Information
Name *
Street Address *
City
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
ZIP
Home Phone *
Email Address *
Would you like to be added to our email list?
Yes
No
Family Information
Spouse's Name
Spouse's Phone
Please list your child(ren) and age(s)
Questionnaire
Preferred Starting Date
May we notify you via email for special event or evening volunteer needs?
Yes
No
Current Employer/School
Have you ever been convicted of criminal activity or a felony?
Yes
No
If yes, please explain
Days Available
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
Shift(s) Preferred
10-2
12-2
2-6
How did you learn of the opportunity to volunteer?
What other volunteer endeavors are you currently involved in or have you been involved with in the past?
Please list any groups, clubs or civic organizations of which you are a member
Please list any language other than English you speak comfortably
Please check any areas which you have studied or have a special interest in
Art
Music
Early Childhood
Earth Science
Physics
Chemistry
Computers
Office
List others
Please check the type of commitment you are looking for as a volunteer
Short term or special project
School year only
Summer only
Long term
Are there projects you would like to avoid? (ie- clerical, physical labor, outdoor event, etc)
Are you currently a member of Creative Discovery Museum?
Yes
No
What experience do you currently have working with or teaching children
What benefits are important to you in making your decision to volunteer
Making a difference in my community
Yes
No
Making new friends
Yes
No
Earning a free family membership
Yes
No
Supporting the mission of the Museum
Yes
No
Future employment/Job reference
Yes
No
Please list three personal references
and their contact information
Reference 1
Name
Primary Phone
Secondary Phone
Relationship
Years you've known this person
Reference 2
Name
Primary Phone
Secondary Phone
Relationship
Years you've known this person
Reference 3
Name
Primary Phone
Secondary Phone
Relationship
Years you've known this person
* Denotes a required field
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Volunteering
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Online Adult Volunteer Application
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