Volunteer or Intern

VOLUNTEER + INTERN APPLICATION
APPLICANT INFORMATION

Please fill out all questions that apply to you. This information may be used for grants, promotional purposes, or it may help GreenHill understand how to serve its community better.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone

Area CodePhone Number
Home Phone

Area CodePhone Number
Gender

Other
Age
Race/Ethnicity: Which categories describe you? Please checkall that apply. (Information is needed for NCAC reporting purposes only.GreenHill does not discriminate based on race, age, gender, or any othertrait.)
Email
Birthday

MonthDayYear
Occupation
School or University
OPPORTUNITIES
Select One: (At this time, GreenHill internships are unpaid and offered for academic course credit only.)

Other
Department Opportunities (SELECT ONE):

Other
Please Note Curatorial Intern Requirement: On site at the gallery at least on day a week while GreenHill is open to the public (Tuesday - Friday / 12:00 - 5:00 PM).
EMERGENCY CONTACT INFORMATION

Please provide information for two emergency contacts.
Parent Name (for applications 18 and younger)
Parent Phone Number
Parent Email
Emergency Contact
Relationship
Phone Number
Emergency Contact #2
Relationship
Phone Number
APPLICATION QUESTIONS
Please write why you are applying to this position and what you hope to gain with this experience:
Special Skills and Qualifications:
How did you hear about GreenHill?
When are you available to begin working and/or volunteering?
REFERENCES

Information for two-non family references must be provided to be considered.
Reference 1 Name:
Reference 1 Occupation:
Reference 1 Phone Number:
Reference 1 Email:
Relationship to Reference 1:
How long have you known Reference 1:
Reference 2 Name:
Reference 2 Occupation:
Reference 2 Phone Number:
Reference 2 Email:
Relationship to Reference 2:
How long have you known Reference 2:
AGREEMENT OF AUTHENTICITY
Agreement of Authenticity
Should be Empty:

VOLUNTEER + INTERN APPLICATION

APPLICANT INFORMATION

OPPORTUNITIES

EMERGENCY CONTACT INFORMATION

APPLICATION QUESTIONS

REFERENCES

AGREEMENT OF AUTHENTICITY