Please complete this application form if you are an ADULT interested in becoming a volunteer with Portland Children's Museum.


If you are a youth (aged 13 - 18 and in high school, or for summer volunteering, if you will be entering high school in the fall), please go to http://www.portlandcm.org/more/about-us/volunteer and click on the link for the Youth Application for Volunteer Service.


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


Once you have completed all sections, click the Continue button at the bottom of the page to submit your application. 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 don't think it's likely 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.



Work, Volunteer, or Other Experiences

Please describe your current employment status. This information will help us to know more about the experience that you may be able to share with Portland Children's Museum, and also provides valuable statistical information about our volunteer team.


If you are currently employed, please indicate your employer and job title. If you are retired, please indicate your employer and job title at the time of your retirement. If you are not employed, please do not list an employer or job title.



Educational Background

Please provide information about your highest level of education. This provides us with information about the educational background that you may be able to share with Portland Children's Museum, and also provides valuable statistical information about our volunteer team.



Emergency Contact Information

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



Availability

Please indicate the days and times you are usually available to volunteer. 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 Portland Children's Museum volunteers make a commitment to volunteering at least two four-hour shifts for a minimum of six months.



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? Please indicate any special skills by checking the boxes. If you have related experience you'd like us to know about or if you don't see your skill listed, please elaborate below.



Language Fluency

PCM 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 Consent

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 all states you have resided in since age 18. Please list any other names used including maiden name(s).


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 is accurate. I understand falsification of information will void this application or lead to immediate dismissal. I authorize Portland Childrens Museum to verify this information and conduct a background check.



References

Please provide the name and contact information for three references. You must provide at least one professional reference (current or former supervisor is preferred)



Important Information

INSURANCE INFORMATION FOR VOLUNTEERS

Thank you for applying to Portland Children's Museum Volunteer Program.

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


IMAGE RELEASE

I consent to, and authorize the taking, use, and reproduction of images and audio, of me 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 my 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 application. I understand that any misrepresentation or material omission on the application will result in my 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 immediate termination.

"I hereby authorize all previous employers and supervisors, including all persons with and for whom I have worked, to give Portland Children's Museum representatives any and all information regarding me and my 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, I agree to adhere to all existing and future instruction, rules, and policies of Portland Children's Museum. I understand that my position can be terminated at any time, at the option of either Portland Children's Museum or myself.

"I agree that I offer my services as a volunteer with no expectation of monetary compensation and that I am to 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.