Please complete this application form if you are a high school student aged 13-18 and are interested in becoming a Youth Volunteer at Portland Children's Museum.


If you have completed high school AND are 18 or older, please go to http://www.portlandcm.org/get-involved/employment-and-volunteer/ and click on the link for the adult volunteer application.


Please note - All phone numbers should be entered in the following format: xxx-xxx-xxxx.


Once you complete the form, click the submit button at the bottom. If you have any questions or concerns please email volunteer@portlandcm.org.


All volunteers will be contacted via email and invited to one of our monthly orientations at the Museum. A volunteer must attend an orientation in-person before they can begin volunteering. Any volunteer applicant who does not RSVP and attend a training within 6 months of submitting an application will need to reapply. If you think it's unlikely you'll be available to attend a training in the next 6 months, please consider applying at a later time.


Contact Information

If you do not have a phone number, please enter 000-000-0000 in the Preferred Number field.



Parent or Guardian Information

Please provide contact information for at least one parent or guardian.



Availability

Please indicate the days and times you are usually available to volunteer. The Portland Children's Museum is open from 9am-5pm, 7 days a week. During some special events, PCM may be open for extended hours in the evening.

Regular PCM volunteers make a commitment to volunteering at least two four-hour shifts for a minimum of six months.



Emergency Contacts

Please provide contact information for two people you would want Portland Children's Museum to call in case of emergency.



Educational Background

Please provide information about your highest level of education, the name of your high school, and your anticipated year of graduation from high school. If you are applying for summer volunteering and you are are currently in middle school, enter the name of the high school you will be attending in the fall. This provides us with valuable statistical information about our volunteer team.



Work, Volunteer, or Other Experiences

Please describe your current employment status by choosing "Student - Not employed" if you do not have a regular job while you are in high school, or "Student - Employed" if you do have a regular job while you are in high school. This information provides us with valuable statistical information about our volunteer team.



How did you hear about volunteering for PCM?


Special Skills

Do you have any special skills you'd like to share with Portland Children's Museum? If you don't see your skill listed please elaborate below.



Language Fluency

Portland Children's Museum serves a diverse audience, and we are pleased to engage volunteers who have fluency in languages other than English.


Please indicate fluency in a foreign language only if you would feel comfortable communicating with PCM visitors using that language. If you speak a language that is not listed, choose Other Language and indicate the language in the box at the end of this section.



Demographics (Optional)

Portland Children's Museum is collecting this information only so that we can evaluate how we are doing at recruiting a diverse pool of volunteer candidates. This is not a required section to complete. PCM does not discriminate on the basis of sex, age, race, color, religion, national origin, mental or physical disability, marital status, military service or any other state protected classifications. We honor and value diversity in the work place.


What is your ethnic background or heritage? (please indicate as many as apply)



Volunteer Criminal Records Check

In order to serve the best interest of Museum visitors, Portland Children's Museum conducts a criminal background check on all new employees, interns, and volunteers. If you have been convicted of an offense other than a minor traffic violation or juvenile offense, please provide details below. Indicate the date, charges, disposition, and the state and county in which the offense occurred. Conviction history will not automatically disqualify you from volunteer/intern status, but factors such as the nature and gravity of the crime, the length of time that has passed since the conviction, the completion of any sentence and the nature of the job for which you have applied, will be considered. Please list any other names used.


By agreeing to the terms of this application you authorize Portland Children's Museum to obtain information about you and your history. Falsification of information on this form will disqualify you from volunteering. I acknowledge the above information I accurate. I understand falsification of information will void this application or lead to immediate dismissal. I authorize Portland Children's Museum to verify this information and conduct a background check.



References

Please list three work, school or personal references that we may contact regarding your application. Please do not list family members or relatives.



Agreement

Please review this section with your parent or guardian:


SUPPORT AND PERMISSION:

I understand the conditions under which my child will be volunteering, and I agree to support my child's application for participation in this program. If accepted, I will see that s/he attends the required orientation and training; attends all scheduled shifts (unless illness or a family emergency occurs); and adheres to the program policies and procedures. I understand that Portland Children's Museum is not responsible for my child when s/he is not in the Museum or before/after her/his scheduled shift.


I certify that the answers to questions and statements are true and correct without any omissions. I authorize Portland Children's Museum to investigate and or verify application information, and any other information, which might assist them in determining my child's qualifications for volunteering. I further agree to comply with the policies and procedures, as well as safety practices in all areas of Portland Children's Museum. I understand that my child's volunteer status may be terminated at any time for failure to comply with policies and procedures of Portland Children's Museum including those of the volunteer program; for absence without notification; for reasons of unsatisfactory attitude, work, personal appearance, and for any other circumstances which, in the judgment of Portland Children's Museum, would make my child's continued service as a volunteer contrary to their best interests. Any person who gives false information will be subject to immediate dismissal from the volunteer program.


MEDICAL EMERGENCIES

In case of serious accident or illness, I hereby authorize Portland Children's Museum to seek medical attention for the applicant in accordance with American Red Cross first aid guidelines.


YOUTH VOLUNTEER EXPECTATIONS

We (guardian and youth) understand that becoming a volunteer is a serious commitment. We understand that acceptance into the Youth Volunteer program at Portland Children's Museum is contingent upon our agreement.


INSURANCE INFORMATION FOR VOLUNTEERS

We at Portland Children's Museum have an excellent safety record. We don't anticipate that anyone would be involved in an accident, but it is important to understand that should the applicant be accepted as a volunteer at Portland Children's Museum, the applicant would NOT be covered by Portland Children's Museum Workers Compensation program. You are urged to have your own health insurance in the event your child is injured while performing her/his volunteer duties.


IMAGE RELEASE

I consent to, and authorize the taking, use, and reproduction of images and audio, of my child at Portland Children's Museum by any media entity or individual hired by Portland Children's Museum. I understand that I will not be compensated for the use of those images.


This release shall remain in effect unless and until I notify the Museum of my revocation in writing, and agree that such revocation will apply only to materials, presentations, or publications produced or printed by Portland Children's Museum after receipt of my written notification.


APPLICANT'S CERTIFICATION

"Portland Children's Museum is an equal opportunity employer and does not discriminate on the basis of sex, age, race, color, religion, national origin, mental or physical disability, marital status or military service or any state protected classifications. We honor and value diversity in the workplace.

"No applicant will be rejected as a result of an impairment that, with reasonable accommodation, does not prevent performance of the work.

"Portland Children's Museum does not tolerate sexual harassment or harassment on the basis of any protected class status in the workplace.

"I certify that I have answered truthfully and have not knowingly withheld information relative to my child's application. I understand that any misrepresentation or material omission on the application will result in my child being eliminated from further consideration. I further understand that, if accepted to volunteer, any misrepresentation or material omission that becomes known to Portland Children's Museum may result in my child's immediate termination.

"I hereby authorize all previous employers and supervisors, including all persons with and for whom my child has worked, to give Portland Children's Museum representatives any and all information regarding her/his previous experience. I release Portland Children's Museum and all previous employers and supervisors from liability for any damages that may result from furnishing information to Portland Children's Museum.

"The skill sets of the applicant will be compared to the skill sets needed to fulfill the job descriptions. Placement will be based on the recommendation of the volunteer and the Museum supervisor, and the willingness of the applicant to perform the required duties at the times needed by Portland Children's Museum.

"If accepted to volunteer, we (guardian and youth) agree to adhere to all existing and future instruction, rules, and policies of Portland Children's Museum. I understand that my child's position can be terminated at any time, at the option of either Portland Children's Museum or her/his self.

"We (guardian and youth) agree that s/he offers her/his services as a volunteer with no expectation of monetary compensation and that s/he will fulfill the commitment as outlined including any required training."


I have read and reviewed the above certification statements and other information provided in the application.