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2. Name*
3. Age*
5. Phone Number*
6. Email Address*
8. Address*
9. City*
11. State*
12. Zip Code*
16. Current Employment

    This information helps the museum gauge availability.

    1. Full-time
    2. Part-time
    3. Student

    1. Unemployed
    2. Retired
17. Availability
    Please list the days and times you are available to volunteer.
19. Volunteer Positions: Check all that interest you

    1. Docent
    2. Packaged Tour Guide
    3. Front Desk Attendant
    4. Single Event Volunteer

    1. Summer Camp
    2. National History Day Judge
    3. Upon Request
23. Have you ever been convicted of any crime against children or other persons?*

    1. Yes

    1. No
25. Have you ever been convicted of crimes related to financial exploitation of a vulnerable adult?*

    1. Yes

    1. No
27. Have you ever been convicted of crimes related to drugs?*

    1. Yes

    1. No
29. Have you ever been convicted to have sexually or physically abused or exploited a minor?*

    1. Yes

    1. No
31. Have you ever been convicted to have sexually or physically abused or exploited a developmentally disabled person?*

    1. Yes

    1. No
33. Have you ever been convicted of a felony?*

    1. Yes

    1. No
37. Emergency Contact 1: Full Name*
38. Relationship to Volunteer*
39. Emergency Contact 1: Phone Number*
41. Emergency Contact 2: Full Name
42. Relationship to Volunteer
43. Emergency Contact 2: Phone Number
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field