VOLUNTEER APPLICATION

VOLUNTEER APPLICATION
Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone *

Area Code Phone Number
Cell Phone

Area Code Phone Number
Email *
example@example.com
Date

Month Day Year
Date Date Picker Icon
Why do you want to volunteer with the History Center? Do you have any specific goals you would like to achieve through your volunteer experience? *
Volunteer Opportunities
Please indicate your area(s) of interest:

Collections Education Library/ Archives Special Events Administration Internship
Experience/Skills
Please list any related educational, work, or volunteer experiences, training and certifications you may have.
Skills may include: customer service, public speaking, technology, graphic design, teaching, administrative, fundraising, foreign language or other skills.
Availability

Please choose all that may apply:
One-time Opportunities (e.g. Special Events, large mailings, cleaning days, etc.)

I am available for One-time Opportunities
Specific Time Period (e.g. summer, semester, etc.)

I am available for Specific Time Period
Please submit your start date and end date for your specific time period.
Start Date

Month Day Year
Date Date Picker Icon
End Date

Month Day Year
Date Date Picker Icon
Regular Basis Availability

I am available on a regular basis.
Please indicate your anticipated weekly availability. Please note the History Center's normal business hours are Tuesday through Saturday, 9 am to 5 pm. Opportunities may be available on other times, based on department need.

Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Saturday AM Saturday PM
Clearances
To ensure the safety of History Center visitors and collections, some departments may require a criminal background check an/or child abuse clearance. Please indicate below if you have obtained clearances for other volunteer, work or educational purposes. *

Yes No
If Yes, please describe
Understanding of Volunteer Status
I, the undersigned, understand the following:
- Volunteers are not considered employees for any purpose, and that this application is for volunteer placment only.
- Volunteer placment is a selection process and not all applicants are accepted.
- The York County History Center reserves the right to place me in the area best suited to my skill and the needs of the History Center.
- I am free to accept or refuse any volunteer placement offered to me.
- Volunteer placment may require a criminal background check and/or child abuse clearance.
- I will inform the York County History center of any limitations that may prevent me from performing the placement.
- I certifiy that the information provided in this Volunteer Application is true and correct, and has been given voluntarily.
Signature

Clear
Please Note: In the event Volunteer applicant is a minor (less that 18 years of age), please provide the following information:Click to edit this text...
Parent/Guardian Name:

First Name Last Name

Parent/Guardian Address:

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Parent/Guardian Home Phone

Area Code Phone Number
Parent/Gurardian Cell Phone

Area Code Phone Number
Parent/Guardian Email
example@example.com
Should be Empty:

VOLUNTEER APPLICATION

Volunteer Opportunities

Experience/Skills

Availability

Clearances

Understanding of Volunteer Status