Personal Information

Full Name:


Date of Birth (MM/DD/YYYY):
/ /

Street Address:


City:


State:
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Zip Code:


E-mail:


Home Phone: (###-###-####)


Work Phone: (###-###-####)
Ext.

Cellular Phone:


How did you hear about our volunteer program?

Scheduling Information

Please indicate the days and times you would be available to serve. (check all that may apply):
Days Available: Wednesday | Thursday | Friday | Saturday | Sunday

Times Available: Morning | Afternoon

Other:

Education

Please indicate the level of formal education you have achieved. (choose one)

Some High School | High School Diploma or GED | Technical School/Apprentice
Associate's Degree | Some College | BA/BS Degree | Graduate Degree

Other (please specify):

References

Please list two references of your work habits and character:

Name:
Relationship:
Phone:
Name:
Relationship:
Phone:

Volunteer History

Have you ever volunteered before? (choose one): Yes | No

Additional Information

Please let us know if there is any further information you would like to provide.

Certification

Due to the nature of our work and the value of our collections, The Toy and Miniature Museum may choose to complete a background check on all volunteers. This is a risk containment policy approved by the museum's board of directors. We appreciate your cooperation.

I certify that answers given are true and complete to the best of my knowledge. In the event of acceptance, I understand that false or misleading information given on this form or interview(s) may result in removal. I hereby authorize you to verify all information desired in connection with the profile, including matters of opinion, character, ability, reputation and past conduct, and I authorize and request each individual and organization named on this form to give such information. I understand that if I am chosen for volunteer service I will receive no monetary remuneration.

Name: Date:

Name of Guardian (if under 19):