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*

MaleFemaleNon-binary/ third genderPrefer not to sayOther
Age*

18 and younger19-3031-4546-6566 and older
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.)*

American Indian or Alaska NativeAsianBlack or African AmericanHispanic, Latino, or Spanish originMiddle Eastern or North AfricanNative Hawaiian or Other Pacific IslanderSome other race, ethnicity, or originWhite
Email*
Birthday*

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

Intern (must be 18 or older)VolunteerOther
Department Opportunities (SELECT ONE):*

EducationCuratorialAdministrativeAll of the aboveOther
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*

I affirm that the facts set forth are true and complete.
Should be Empty:

VOLUNTEER + INTERN APPLICATION

APPLICANT INFORMATION

OPPORTUNITIES

EMERGENCY CONTACT INFORMATION

APPLICATION QUESTIONS

REFERENCES

AGREEMENT OF AUTHENTICITY