Gulf Coast Exploreum Science Center Volunteer Application

Full Name:
Date of Application: Date of Birth:
Address:
City: State: Zip:
Primary Phone Number: Alternate phone number:
E-mail Address:
Best Method for Contact:
Emergency contact: Phone number:
Education: (please list all degrees and majors)
References: (please list people who have known you more than one year and are not relatives; please list at least one former employer if possible)
Name: Phone: Relationship:
Name: Phone: Relationship:
Please list any previous work and volunteer experience: (please indicate W or V)
Please list any skills, qualifications or special interests you have acquired from employment, school, previous volunteer work or other activities, including drama experience, hobbies, languages, talents, and science projects:
Please briefly explain why you are interested in volunteering at the Exploreum:
Please list any medical restrictions, requirements and allergies we should be aware of:
Do you have access to reliable transportation? Yes No
Total hours you would like to volunteer per week:

Days/times you are available to volunteer:
(please include the times for each day of the week that you will normally be available, i.e. Monday AM - 9:30-12)
  MON TUE WED THU FRI SAT SUN
AM 
PM 
Please indicate which position(s) you are interested in:
Volunteer Exhibit Assistant Volunteer Presenter
Wharf of Wonder Volunteer Birthday Party Volunteer
Volunteer Camp Assistant Explore TEC Volunteer
Outreach Volunteer Special Events Volunteer
Maintenance Volunteer Volunteer Greeter
Volunteer Surveyor
Are you available to help with special events & projects on short notice?
Yes No
Have you ever been suspended or dismissed from an organization as a result of alleged, suspected or actual acts of physical or sexual abuse?
Yes No
Have you ever been convicted of any crime, including sexual or child abuse related crimes?
Yes No
Please read the following agreement:
  • The Exploreum provides equal opportunities regardless of race, creed, color, gender, age, sexual preference or disability.
  • Volunteers are not entitled to monetary compensation for the work preformed or entitled to worker’s compensation or group benefits on the event of an injury.
  • The Exploreum reserves the right to terminate volunteer relationships if an Exploreum supervisor determines that responsibilities are not being fulfilled satisfactorily.
  • The Exploreum reserves the right to conduct a background check.
Check here to indicate that you understand and will abide by the terms of this agreement.
Enter the security code to the right:

© 2012 Gulf Coast Exploreum Science Center | Web Services by Dogwood Productions

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