|
recv’d:_________04 by: ____________ date:____________ Missing items? Y or N
|
Volunteer Application Form Part I
Indicate your Interests:
__Event Volunteer (i.e. greeting guests, registration, setup, security, selling raffles etc)
__Office Help (stuffing envelopes, making copies, word processing, answering phones,
Faxing etc.
__Transportation (running office errands, taking packages to centers, helping getting
supplies to events. Do you own a van or truck?_____
__Development
__Public Relations
Applicant’s Phone Number (Home)______________________(Work)_____________ Best time to call:____________________
How did you hear about the Art Cafe?_____________________
Your Birthday?___________
Full Name (First, MI, Last)______________________________________________________
Current Employer, City, State Phone# _____________________________________________________________________________
Please list any previous volunteer experiences:______________________________________
Education: (List highest grade completed)
High school____________________ College________________________________________
Availability (write the best time to call you)?__________________________________
Do you have any special skills that you could contribute to the Art Café?
__Accounting __ Advertising/PR__ Building__ Computer__ Fundraising__
Legal__ Language__ Management__ Photography__ Publishing__ Performing Arts__ Video/Audio__ Visual Arts___ Other__________________________
3 References:
- Name/Address/Phone_________________________________________________________________________________________________________________
- Name/Address/Phone_________________________________________________________________________________________________________________
- Name/Address/Phone_________________________________________________________________________________________________________________
*In Case of Emergency who do we notify? Relationship?_________________________________________________________
BY SUBMITTING THIS FORM I AGRESS TO THE FOLLOWING:
Cont’d next page..
Art Café Registration PageII
- I wish to volunteer
my services to various community service organizations through The Art
Cafe. I understand that the nature of the volunteer activities which are typically performed by a Art Café volunteer and which may be performed by me as a Art Cafe volunteer may involve physical activity, contact with unidentified unfamiliar persons, travel to and from various unspecified locations, and other potential risks of injury. Knowing this, I still wish to volunteer - and hereby assume the risk with respect to any liability of The Art Cafe for such risks, of any accident or injury to person or property which I may sustain in connection with my participation as a Art Cafe volunteer or in any Art Café activity. In addition, I hereby release and discharge the Art Café and any of its directors, officers, employees, partners, affiliates, agents, and successors from any and all liability of responsibility for such an accident or injury.
- I hereby affirm that I have never been convicted of any violent crime, child abuse or neglect, child pornography, child abduction, kidnapping, rape or any sexual offense.
- I agree that The Art Cafe may check my background including but not limited to my references.
- I will offer my services with a clear understanding there will be no monetary compensation.
- I will readily accept training and supervision by staff and endeavor to be prompt and regular in my service.
- I will observe all Art Café regulations, and will not divulge any confidential information that I shall see or hear during my volunteer service at The Art Cafe.
- I understand that assignment to a service is conditioned upon my performance, satisfaction with assignment, and continued need for the service.
- I understand that my volunteer position may be terminated at any time.
- I agree to hold The Art Cafe, and its officers, directors, employees, and agents harmless for bodily injury, personal injury, theft, damage or any other claim whatsoever that may occur.
- I understand that a volunteer position does not guarantee a membership in the organization
nor does it constitute or guarantee a seat on any committee.
Art Café Volunteer Signature of agreement:________________________________ Date__________
We need a copy of your Drivers License and Social Security Card
Please include these items if you are mailing this contract
The Art Café
ATT: Cora Smilkovich
Executive Director
217 Shoppers Alley
Davison MI 48423
USA
(810) 653-0881