*Name
Nickname
Emergency
Contact:
Street Address
*Name
City
*Relationship
State
*Home
Phone
Zip
Cell
Phone
*Home Phone
Work
Phone
Cell Phone
Work Phone
*Email
Age
Under 18
18 or over
Birthday
Ex: May 15
Gender
Male
Female
Valid drivers license?
Yes
No
Do you have a car for use while
volunteering?
Yes
No
Best time to call you?
Morning
Afternoon
What is your occupation?
What are your interests/concerns?
Please share your skills, education, and special training:
Check
which times you are available:
SUN
MON
TUE
WED
THU
FRI
SAT
Mornings
(9am-1pm)
Afternoons
(1pm-5pm)
Evenings
(take work home)
n/a
n/a
For how
long are you available?
One day special events or programs
Short term (less than one month)
Long term (more than one month)
Summer vacation
How many
hours are you willing to spend volunteering at the museum?
Hours Weekly
Hours Monthly
Hours Other
Please
check the areas that interest you:
Gift
Shop /Reception/Cashier
Public Speaking/Community
Outreach
Tour
Director/Docent/Interpreter
Office/Clerical/Data
Entry
Education
Program Assistant
Marketing/Advertising/Fundraising
Board
Committees
Cataloging/Collection/Inventory
Grounds/Gardening/Maintenance
Painting/Repairs/Constructio
Special
Programs or Events
Planetarium
Why do you want to volunteer? (check all that apply)
Interest in Museums/Arts
Community Involvement
Assigned Community Service
School Requirement
Government Program Requirement
Have extra time
Job Training/Experience
Other
How did
you learn of Kingman Museum's Volunteer Program?
Please list any allergies, medications, and physical limitations (this information will not prevent you from volunteering at Kingman Museum)
Thank
you for interest in Kingman Museum's Volunteer Program.
Kingman Museum programs and exhibits are open to people of
all race, color, national origin, gender, religion, age, disability,
political beliefs, sexual orientation, marital status, or family
status. Kingman Museum is an Equal Opportunity Institution.