DHS Temporary Volunteer Application

Please complete this application if you are interested in becoming a Temporary Volunteer with the Detroit Historical Society. Once you complete the form, click the Continue button at the bottom. All applicants must also complete and submit a Background Check Authorization form located on the Volunteer Information page of our website. Your application will not be processed until both forms are received by our volunteer office.

Name and Address

This section of the application is mandatory. All interested applicants must have a valid email address and internet access to join the Society's volunteer program

First name:

Last name:

Middle name:

Title:

Nickname:

Street 1:

Street 2:

Street 3:

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:

Web site:

Date of birth:

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

Schedule reminders

Work/Volunteer Experience

Please describe your recent volunteer experience. If none, please share your recent work experience.

Background

Describe any special skills, education and/or training, or hobbies.

Medical History

Do you have any special health conditions or restrictions? If so, please explain.

Community Service

Are you volunteering to fulfill a minimum community service requirement? If so, please explain.

Availability

Please indicate the days and times you are usually available to volunteer. Keep in mind that some roles require attendance during family-friendly programming and events during nights and weekends.

Emergency Contact Information

Please list an emergency contact, their relationship to you and a telephone number to reach them

First name:

Last name:

Nickname:

Title:

Home phone:

Work phone:

Cell phone:

Email address:

Relationship:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Gender:

Ethnicity:

Additional Information

Please list how you heard about our volunteer program.

Criminal History

Check the box if you have you ever been convicted of a crime or have any felony charges pending against you. Please provide dates, places, charges and disposition of all convictions and any other information about convictions you would like us to consider.

Criminal History:

Applicant Signature

I acknowledge that having a criminal record does not automatically disqualify my application from consideration and that many factors are considered during evaluation of my application. I understand that each application is evaluated individually based on a variety of factors including the nature of the crime, how long ago the crime and/or release from incarceration occurred, whether a sufficient or satisfactory work record has been established since the crime and/or release from incarceration and the volunteer position applied for.

I affirm that the information set forth above is true and complete to the best of my knowledge. False statements in this application may result in an inability to provide volunteer placement, or revocation of an offer of placement once falsity of a statement becomes known.

I Agree

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