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Volunteer Application

Please fill out the following application form.  Once we have received it we will contact you regarding the next scheduled Volunteer Orientation.

Personal Information * required fields

Name:

Address Line1:

Address Line2:

City:

State:

Zip Code:

Phone #:
E-Mail:
(if you do not already have an e-mail address, a free one is available to you at www.hotmail.com or www.yahoo.com)

Date of Birth:

Age:

Gender:

Male Female

School Name:

Graduation Year:

Emergency Contact Information

Name:

Phone Number:

Relationship:

General Information

How did you learn about the Miami Science Museum:

School
Website
Another Volunteer
Other

Another Volunteer: Please indicate volunteer's name

Other:

I have volunteer/work experience in a camp setting:

Yes No

I have volunteer/work experience with individuals with disabilities:

Yes No

If so, when/where:

Please mark all that apply. I am:

A Student College
High School
Other (please explain)
Employed Full-time
Part-time
Where:
Retired Former Occupation:
A Community Service Volunteer Hours needed:

Reason:

Interests

Why are you interested in becoming part of our volunteer program:

If you are volunteering to fulfill your community service requirement, how many hours are you required to complete:

We require a minimum of 75 hours. Are you able to commit to complete the minimum:

Yes No

Please indicate which department(s) of camp interests you the most. If marking more than one department, please indicate your perference by rating them from 1(most interested) to 10 (least interested):

Explainer Wildlife Center
School/Group Guide Planetarium
Birthday Party Host Special Events
Early Childhood Assistant Museum Store
Camp Counselor Administration
Best Buy Teen Tech Center
Other: Please explain:

Availability

Please indicate the frequency that you anticipate being available to volunteer:

Occasionally
Monthly
Weekly
Daily
Seasonally (i.e. only in the summer, school holidays, etc.)
Long term (full-time for one full season or more)
Other: Please explain:

When would you like to start:

Are you available on weekdays: Yes No
Are you available on weekends: Yes No

Hopes/Expectations

What I hope to gain/experience by volunteering at the Miami Science Museum:

Please share any other pertinent information:

Reference
Please list one personal or professional reference

Name:

Phone:

Relation:

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