Volunteer Application
Applicant Information
Name
*
First Name
Last Name
Birth Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
How would you like to be contacted?
*
Please Select
Phone
Email
Text
Are you an RSVP (Retired Senior Volunteer Program) volunteer?
*
Please Select
Yes
No
What days/times are you available?
*
Rows
Monday
Tuesd
Wednesday
Thursday
Friday
Saturday
Morning
Afternoon
Are you available on short notice?
*
Please Select
Yes
No
How many hours a week would you like to volunteer?
*
Other Information
Do you speak a language other than English? (Specify only if fluent)
How did you learn about our volunteer program?
*
What site (or sites) are you interested in working at? Check all that apply.
*
Cross Orchards
Dinosaur Journey
Museum of the West
Please let us know what type of volunteer position you are interested in:
Docent, gardener, carpenter, etc.
References
Please list two references below. If you are between the age 15-17, please have a teacher or counselor write you a recommendation.
*
Rows
Full Name
Phone Number
Relationship
Reference 1
Reference 2
Employment History
If you have job experience related to a volunteer position, please let us know.
Is this a current or former position?
Please Select
Current
Former
Job Title
Employer:
Duties:
Is this a current or former position?
Please Select
Current
Former
Job Title
Employer:
Duties:
Auto Information
If you are over 55, you are eligible for mileage reimbursement and accident/liability insurance through RSVP (Retired Senior Volunteer Program). You need a valid Colorado license and liability insurance.
Colorado Driver's License Number
Expiration Date
Auto Insurance Company
Emergency Contact Information
Name & Relationship to You
*
(spouse, parent, child, etc)
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Signature
*
By signing below, I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that submitting this application authorizes Museums of Western Colorado to conduct a background check as part of the volunteer screening process.
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