Volunteer Application

First name: *

Last name: *

Street address: *

City: *

Zip: *

Home phone: *

Work phone: *

Cell phone: *

Email: *

Emergency contact name: *

Emergency contact relationship: *

Emergency contact phone: *

First Choice of Interest. Before responding, please review our Current Needs: * ----BotanyEntomologyHerpetologyBirds & MammalsPaleontologyCanyoneers (application deadline August 26, 2013)Docents (application deadline September 15, 2103)Museum Whalers (application deadline September 1, 2013)

Second Choice of Interest: ----BotanyEntomologyHerpetologyBirds & MammalsPaleontologyCanyoneers (application deadline August 26, 2013)Docents (application deadline September 15, 2013)Museum Whalers (application deadline September 1, 2013)

Explain why you have selected the above area(s) of interest: *

Availability (Please note that the science and administrative departments are not open on weekends.): * ----WeekdaysWeekendsBoth weekdays and weekends

How did you hear about our volunteer program? ----SDNHM websiteNewspaperCraigslistVolunteer MatchOther websiteCurrent VolunteerSDNHM Staff MemberOther

Highest level of education completed (Must be high school junior or above.): ----Junior in High SchoolSenior in High SchoolHigh School GraduateEnrolled in CollegeCollege GraduateMasters DegreeDoctorate

If student, please enter name of school:

Major or coursework related to natural history:

Previous work and volunteer experience. Please provide details on duties performed: *

Skills and hobbies related to natural history:

Language(s) other than English:

Have you participated in any of the following SDNHM programs? ----Canyoneer HikesLecturesWhale-watchingClasses

Are you a member? ----Yes

1st Reference name: *

1st Reference relationship: *

1st Reference Phone or Email: *

2nd Reference Name: *

2nd Reference Relationship: *

2nd Reference Phone or Email: *

Additional Comments:

I certify that this information is correct. I understand a background check may be performed. * ----Yes

Please type the letters and numbers shown in the image.

Thank you for your application. Our Director of Volunteer/Intern Services will respond shortly.

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