Volunteer Application
First Name:
Last Name:
Email:
*
Preferred Phone:
-
Area Code
Phone Number
Address:
City:
State:
Zip Code:
Emergency Contact Name:
Emergency Contact Phone:
Describe technical, clerical, or business related skills and special interests:
Previous experience:
How did you become interested in volunteering for KVIE?:
I’d be interested in volunteering for:
Station Events
Yes
No
Front Desk / Clerical support
Yes
No
On-air Fundraising (Pledge, Art Auction)
Yes
No
Have you ever been employed by KVIE?:
Yes
No
Have you ever been convicted of a criminal offense(felony or serious misdemeanor)?:
Yes
No
If yes, please state the nature of the crime(s),when and where you were convicted and the disposition of the case(s):
Is it necessary to limit your physical activity?:
Yes
No
Comments/Notes:
Submit
Should be Empty: