This application is for a volunteer opportunity at the FLINT HILLS DISCOVERY CENTER. The Flint Hills Discovery Center is managed by the City of Manhattan. To apply, please complete this application form then click the green continue button at the bottom to submit the application.
Name and Address
First name:
*
Last name:
*
Nickname:
Street 1:
*
Street 2:
City:
*
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
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KY
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MI
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MO
MS
MT
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NH
NJ
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NV
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OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Zip:
*
Primary Contact Number
This can be a cell phone, home phone, or work phone.
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
Date of birth:
Month
Jan
Feb
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Day
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1921
1920
1919
1918
*
(year optional)
Gender:
Choose
Female
Male
Non-binary/third gender
Prefer not to disclose
Detailed Self-identified Ethnicity:
Availability
Please indicate the days and times you would be available to volunteer.
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Morning:
Afternoon:
Evening:
Tell us why you are interested in volunteering at the Flint Hills Discovery Center.
Volunteer Opportunities
Please indicate which opportunities you are most interested.
Assignment Preference:
1st Floor Permanent Exhibits [Interpreter]
Classroom Assistant [Education Department]
Exhibit Assistant [Exhibit Assistance]
Exhibit Training [Training]
Front Door Greeter [Guest Guide]
Gift Store [Guest Guide]
Prairie Playscape 2nd Floor Temporary Exhibits [Interpreter]
Special Event Host/Hostess [Special Events]
Volunteer Training [Training]
List your top three preferences:
Education and Work Experience
Please list your relevant education, work and volunteer experience.
Education:
Choose
Associate degree
College degree
Doctoral degree
High school
Masters degree
Some college
Trade/Vocational school
School:
1
2
Employer name:
Employer name:
City:
City:
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
3
Employer name:
City:
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
References
Please list two references who are not related to you.
1
2
First name:
First name:
Last name:
Last name:
Street 1:
Street 1:
Street 2:
Street 2:
City:
City:
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
Zip:
Email address:
Email address:
Relationship:
Choose
Child
Co-worker
Friend
Neighbor
Parent
Relative
Spouse
Supervisor
Teacher/Professor
Relationship:
Choose
Child
Co-worker
Friend
Neighbor
Parent
Relative
Spouse
Supervisor
Teacher/Professor
Emergency Contact
Please list someone we would contact on your behalf in an emergency.
First name:
*
Last name:
*
Home phone:
OK to call here
Work phone:
OK to call here
Cell phone:
OK to call here
Email address:
Relationship:
Choose
Child
Co-worker
Friend
Neighbor
Parent
Relative
Spouse
Supervisor
Teacher/Professor
Authorization and Release
I certify to the best of my knowledge, all information given by me in this application is true and correct. I authorize the Flint Hills Discovery Center to utilize this information to determine my volunteer placement. I understand that I will be expected to abide by the Flint Hills Discovery Center policies and procedures, which will be provided to me as part of my orientation process.
I Agree
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