Information Request Form

Yes! I want to share my time & talent!
Name

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
Special Event Volunteer (planning committee an/or day of)Inventory Project (requires computer use)Gardening/yard clean up/working with Polk County Master GardnersMuseum maintenance (cleaning bi-weekly, small repairs, handy person)Service on a committee (events/marketing, buildings & grounds, education, fundraising, volunteer management)I'd like to know more about serving on the Board of Directors
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Preferred time to volunteer:
YesNo
Do you have any volunteer or other experience you'd like us to know about?
Please read the following carefully before signing the application

I understand tht this is an applicatio for and not a commitment or promise of volunteer opportunities. I certify that I have and will provide information throughout the selection process, including on this application for a voluntter position and in my communications with the West Des Moines Historical Society that is true, correct and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my availability and that i have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by the WDMHS. I understand that misrepresentations or omissions may be cause for my immediate rejection as an application with the WDMHS.
Signature

Clear
Date:
Should be Empty:

Yes! I want to share my time & talent!