VOLUNTEER APPLICATION
Zip:
Home Phone:
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Other Phone:
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Email Address:
Name, phone and relationship of emergency contact person:
Phone Number of Emergency Contact:
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Volunteers receive a name badge and volunteer polo shirt. Please indicate the size you would like:
Your badge will have your first and last name unless otherwise requested. Please contact Volunteer Services before the first time you volunteer to make arrangements to get your badge and shirts.
When are you available to volunteer? Check all that apply.
Please check areas that interest you for volunteering. Feel free to list other areas that are not listed below.
For the safety and well being of our museum staff, volunteers and visitors, please read the following and sign below.
I authorize Conner Prairie to conduct a limited criminal history and driver’s record check through the Indiana State Police and I release from all liability and hold harmless any person giving or receiving information about me relative to the investigation. I understand that any falsification, misrepresentation or omission of information discovered as a result of this investigation may prevent me from volunteering with Conner Prairie.
I declare that I have never committed nor been charged or convicted of any act of abuse, neglect, exploitation or fraud in relationship to a dependent/vulnerable child or adult within the past 10 years.
APPLICANTS MUST FILL IN ALL SPACES --- PUT N/A IF NOT APPLICABLE
Zip:
Phone:
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OTHER ADDRESSES FOR THE PAST FIVE YEARS