Volunteer Application

Your Information

Educational Background

I am currently a student

Last School Attended

Highest Degree Earned *

Employment Background

Are you currently employed? * Yes No

Current Employer

Position Title *

Years Employed *

Supervisor Name *

Supervisor Title

Phone Number *

Email *

Skills and Experience

Do you have previous volunteer experience? * Yes No

Organization

Position

Supervisor

Phone Number

Years of Service

Please describe any training, skills, teaching experiences and/or certificates that may be relevant to your interests and enhance your volunteer experience:

Hobbies/Special Interests

Do you speak spanish? Yes

Please list any additional foreign language skills.

(e.g. foreign languages, ASL)

Availability

Emergency Contact Information

Contact Name *

Relationship

Phone Number *

Any important health information we should know for your safety (severe allergies, asthma, etc.):

Agreements

Placement: I understand that filling out this application does not automatically grant me access to the position of my choice, that placement is dependent upon availability and position requirements.

I agree.

Screening: I understand that, by filling out this application, I may be subject to additional screening prior to placement as a volunteer.

I agree.

Compensation: I am aware of the nature of the work that is to be performed at NCMNS and agree that I am participating in these activities freely and voluntarily and that no compensation is expected in return for services provided as a volunteer.

I agree.

Photographic Release: I grant and convey to the NCMNS all right, title and interests in any and all photographs, images, video or audio recordings of me, my likeness or voice made by the NCMNS in connections with my providing services as an intern.

I agree.

*Required

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