Volunteer Application

Tell us about yourself

Name*

First Last

Address*

Street Address City State ZIP Code

Home Phone

Cell Phone*

Email*

Are you over 18 years old?*

Yes
No

Will you be volunteering to fulfill a class requirement for the University of Tampa Psychology Department?*

Yes
No

Are you 14 years old or older?*

Yes
No

Emergency Contact

Name*

Relationship*

Phone*

Name*

Relationship*

Phone*

Volunteer Experience & Skills

Have you ever volunteered or worked for a children’s organization before? If yes, please describe.*

Yes
No

Please Describe*

What skills, talents and interests do you have that will help make you a successful volunteer?*

What do you hope to gain from your volunteer experience?*

About how many hours per week do you wish to volunteer?*

Weekly Availability*

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Sundays from*

to*

Mondays from*

to*

Tuesdays from*

to*

Wednesdays from*

to*

Thursdays from*

to*

Fridays from*

to*

Saturdays from*

to*

Are you currently a student?*

Yes
No

What school do you attend?*

Area of study?

Education & Background*

Please indicate the highest degree or level of school completed:

Please indicate your current employment status.*

Organization*

Position*

Address

Street Address City State ZIP Code

Phone*

Email*

Do you have any special needs or limitations that we should know before you start volunteering?

Yes
No

If yes, please explain:

Have you ever been convicted of a felony?*

Yes
No

If yes, please explain:

Personal References (please provide 2)

Name*

Years Known

Phone*

Email*

Address

Street Address City State ZIP Code

Name*

Years Known

Phone*

Email*

Address

Street Address City State ZIP Code

Reference & Background Check Authorization

I give permission to contact my references and to conduct a criminal background check:*

Yes
No

By typing my name in the box below, I fully understand and acknowledge that, in volunteering for the Glazer Children’s Museum, I am entering into an AT WILL relationship and that this relationship can be terminated at any time by me or the Museum. To the best of my knowledge all information I have provided is true and complete. I understand that giving false information can be grounds for immediate dismissal. I understand that I may come in contact with sensitive client information and that this information is confidential and is not to be repeated or shared. I understand that I may be photographed while volunteering at the Museum and grant permission for the use of my photo or likeness in any Museum publications and approved media sources unless I request otherwise in writing.

Applicant Name*

If under 18: Parent/Guardian Signature*

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Tell us about yourself

Emergency Contact

Volunteer Experience & Skills

Personal References (please provide 2)

Reference & Background Check Authorization

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