Top
 

Volunteer Application

Personal Information
Name *
Name
Address *
Address
This will be used for the required background check.
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
Physicians Name *
Physicians Name
Physicians Phone *
Physicians Phone
Provide information on any community organizations or groups you participate in or are a member of.
Have you ever volunteered before? *
Provide where you have volunteered and if you have not, please enter "None".
Have you ever been convicted of a misdemeanor or felony (other than parking violations) within the last seven (7) years? *
If your response is yes, please explain below.
What days are you available? *
Shift Preference *
What time of day are you available, please check all that apply.
Please indicate if you have times you cannot volunteer.
Physical Capabilites
Employment History
Current/Most Recent Employment *
Current/Most Recent Employment
Enter your starting and end dates, or if still employed indicate current date.
Personal References
Personal Reference (First) *
Personal Reference (First)
Personal Reference Address (First) *
Personal Reference Address (First)
Personal Reference Phone (First) *
Personal Reference Phone (First)
Personal Reference (Second) *
Personal Reference (Second)
Personal Reference Address (Second) *
Personal Reference Address (Second)
Personal Reference Phone (Second) *
Personal Reference Phone (Second)
Personal Reference (Third) *
Personal Reference (Third)
Personal Reference Address (Third)
Personal Reference Address (Third)
Personal Reference Phone (Third)
Personal Reference Phone (Third)
Confidentiality Statement
Confidentiality Statement As part of my volunteering at Presser Performing Arts Center, I understand that I will receive information that is confidential to professionals, patrons, students, and participants. I acknowledge by signing this statement, I am committed to protecting the confidentiality of all information I come in contact with, both oral and written. I understand that any misuse of information is grounds for immediate termination of my volunteer service without prior notice.
Statement of Affirmation *
Statement of Affirmation
By typing your name below you affirm that you will abide by this Confidentiality Agreement.
Today's Date *
Today's Date
Indicate your areas of interest *
Please check all that apply.