Volunteer Form

Volunteer Application and Background Check Authorization

Last Name	First Name MI
Other Names you have used
Address
City	State Zip
Home Phone	Mobile Phone Fax
Email

Check appropriate blank(s): employed unemployed student retired

Employer/School Phone Title/Position

May we contact if necessary? yes no

Have you been convicted of a crime within the last seven years? yes no

Interested in working hours per week

Days and times of availability:

Please indicate names, phone numbers and relationship of any Museum Center volunteers or employees with whom you are acquainted.

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

Are you currently a Museum Center member? yes no

How did you first learn about our volunteer program?

If you heard about our Volunteer Program from another source, please indicate the type and name of the source.

Visiting the Cincinnati Museum Center? yes no Friend/ Family Member? yes no

High School, College, Employer, Church/Synagogue, Community Organizations, Internet Site (indicate which one)

Name

Previous or current volunteer experience

What do you want to get out of your volunteer experience?

Education background, hobbies or special interests

What is your experience dealing and working with the public?

Emergency Information

Emergency Contact	Relationship Phone
Preferred Doctor & Hospital	Doctor's Phone
Do you have any health or physical limitations that could affect your volunteer assignment? yes no
If yes, please explain

In which area(s) of the Museum center would you be interested in volunteering?

Administrative
Data entry/Typing
Office Administration
Reception/Phones

Curatorial
Catalouging
Preservation
Research

Education
Docents, Interpreters, Tour Guides
Children's Programs

Special Skills
Computer
Newsletter Production
Photography
Addressing/Mailings

Museum Advancement
Marketing
Public Relations
Membership
Visitor Services

Museum Store
Sales/Cashier

Building & Grounds
Gardening
Maintenance

Public Speaking
Education
Guest Relations
Fundraising

Special Events
Culture Fests
Temporary Exhibits
Event Planning

Other Special Projects
Exhibit Construction
Painting
Other

Languages
Plant/Animal Care
Event Coordination
Other:


	Cincinnati Museum Center // 1301 Western Avenue // Cincinnati, OH 45203-1130 // 1.800.733.2077
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