Please complete this application form if you are interested in becoming a Senator John Heinz History Center volunteer. When you have completed the application, please click the green Continue box at the bottom of the form.

Volunteers 18 and older are required to provide copies of the PA Act 34 Criminal Record Check and the PA Act 33 Child Abuse History Clearance. Volunteers over 18 are also required to provide an FBI Criminal Background Check or, if having lived in Pennsylvania continuously for the last 10 years, sign a Disclosure Statement Application for Volunteers. The Disclosure Form will be provided, if applicable, at the Initial Orientation and Interview. Clearances are valid for 5 years from the date of issuance. Step-by-step instructions on how to apply for all clearances will accompany the welcome letter that will be issued upon receipt of your application.

In lieu of clearances, volunteers under the age of 18 must submit a letter of permission to volunteer from a parent or guardian and a letter of recommendation from a supervisory adult, such as a school or community official, who can speak to the volunteer applicant's character and abilities.

*Marks required field.

Name and Address

First name:

Last name:

Title:

Nickname:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Demographic Information

Type:

Date of birth:

Gender:

Highest Level of Education Attained:

Ethnicity:

Major Degree:

Minor Degree:

College:

High School:

Middle/ElementarySchool:

Availability

Please indicate the days and times you are usually available to volunteer.

Sun

Mon

Tue

Wed

Thu

Fri

Sat

From:

To:

I would like to serve up to:

hours:

Skills and Experience

In which of these areas do you feel that you have moderate to excellent skill? Check all that apply.

Additional Skills

Please list additional skills and areas in which you have expertise.

Preferences

Please list the divisions or areas of the museum in which you would most like to volunteer if opportunities are available.

Assignment Preference:

1st choice:

2nd choice:

3rd choice:

Additional Comments

How did you find out about the Volunteer Program at the Heinz History Center?

Agreement

As a volunteer of the Senator John Heinz History Center I agree:

-To follow the History Center's policies and procedures.

-To function as an official representative of the History Center and follow standards of good conduct and appropriate attire while serving as a volunteer.

-To accept guidance from staff and to agree to periodic evaluations of my performance.

-To pay for (as applicable) and successfully pass the required security clearances prior to beginning to serve as a volunteer at the Heinz History Center, the Fort Pitt Museum, or Meadowcroft Rockshelter and Historic Village.

I Agree