Discovery Cube Los Angeles welcomes interested individuals of all backgrounds and abilities. No aspect of our volunteer program is influenced by race, religion, national origin, sex, disability, age, or any other basis prohibited by law, but rather by factors such as commitment, dependability, and desire to be of service.

Please complete this application form if you are interested in becoming a Discovery Cube Los Angeles Volunteer. Once you complete this form, click the submit button at the bottom.

Name and address

First name:

Last name:

Middle name:

Nickname:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

Cell phone:

Email address:

Demographic Information

Most of the information below is optional and is used only to help us get a better idea of the demographic make-up of our Volunteers. While completion is optional, it would be most helpful to us as we monitor the complete record of our program. All Volunteers must be 15 or older to volunteer. Parental consent will be required for Volunteers under the age of 18.

Type:

Date of birth:

Age:

Additional Language Spoken:

Ethnicity:

Gender:

College:

High School:

Hour Requirements

Are your hours required for any type of mandatory community service? If so, by whom?

Emergency Contact

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Relationship:

Tell us more

Why are you interested in volunteering at Discovery Cube Los Angeles?

Do you have any special skills?

(Photographer, Artist, Graphic Designer, Musician, Programmer, etc.)

Availability

When are you most likely to volunteer?

I certify that the responses given by me for the foregoing questions and statements are true and without omission. I authorize Discovery Cube Los Angeles to investigate background information, verify the foregoing information, and any information that may assist them in determining my qualification for volunteering. If upon investigation, anything contained in this application is found to be untrue, I release Discovery Cube Los Angeles, my former employers and all others from liability damage. I hereby acknowledge and agree to comply to set policies and procedures.

I Agree