Adult Volunteer Application Form

Thank you for your interest in volunteering at the Golisano Children's Museum of Naples. Please complete this application form. Once you complete the form, click the Continue button at the bottom.

Contact Information

Thank you for your interest in the volunteer program at the Golisano Children's Museum of Naples (C'mon) I will contact you when I have received your application with further instructions.

First name:

Last name:

Title:

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:

Availability

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

Sun

Mon

Tue

Wed

Thu

Fri

Sat

From:

To:

My availability is:

From:

to:

I would like to serve up to:

hours:

Education History

Major degree:

High school:

College:

Job History

Please list your current or most recent employer, if applicable.

1

2

Employer name:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Work phone:

Skills & Experience

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

Computer Skills/Database:

American Sign Language:

Multiline Phone:

Languages Spoken (other than English):

Teaching/Art Experience:

Maintenance skills:

List any other skills, talents or limitations that we should be aware of.

Emergency Contact

In the event of an emergency whom should we notify?

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

* OK to call here

Work phone:

* OK to call here

Cell phone:

Email address:

Relationship:

References

Please provide a reference of someone who is not a relative with which you have a professional or volunteer history.

First name:

Last name:

Title:

Work phone:

* OK to call here

Cell phone:

Relationship:

Demographics

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.

Date of birth:

Age:

Gender:

Education:

Ethnicity:

T-Shirt size:

Assignment Preference

The following volunteer assignments may currently be available. You may click the assignment names to learn more about that assignment. Use this list to rank your top three assignment choices.

Email

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.

Email address:

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

Schedule reminders

Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Your password is to needed to access the online Volunteer Information Center. Please enter the last four digits of your cell phone as your password.

Please enter a password that:

Is between 4 and 30 characters long

Password:

Confirm password:

I Agree

I understand and agree that submitting this application form does not automatically register me as a Golisano Children's Museum of Naples volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

I Agree