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: *

Highest level of education completed: * ----Junior in High SchoolSenior in High SchoolHigh School GraduateEnrolled in CollegeCollege GraduateMasters DegreeDoctorate

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: *

Volunteer Area of Interest: * ----Docents (application deadline August 31 each year)Canyoneers (application deadline August 31 each year)Museum Whalers (application deadline September 15 each year)ClericalSummer Camp Volunteer (age 16 an up)Birds & MammalsBotanyEntomologyHerpetologyPaleontologyTitanic Exhibition

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

Language(s) other than English: *

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

If referred by a current volunteer or SDNHM staff member, please provide name:

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

Are you a member? ----Yes

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

Do you have any physical limitations? If so, please describe:

Do you have any severe allergies? If so, please describe:

1st Reference name (for students, please provide teacher's name): *

1st Reference relationship: *

1st Reference Phone or Email: *

2nd Reference Name: *

2nd Reference Relationship: *

2nd Reference Phone or Email: *

For students, provide Parent/Guardian Name:

Parent/Guardian Phone Number:

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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