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Natural History & Fine Arts Museum

Application

Name: Address: City: State: Zip: Phone: Email: Emergency Contact: Phone: Relationship:

INTERESTS (check all that apply):
AnimalsArtAmerican Indian CulturesCivil WarDinosaursFossilsEcosystemsHistoryScience

Other


HOBBIES AND OTHER INTERESTS:


PREVIOUS VOLUNTEER EXPERIENCE:


WHY ARE YOU INTERESTED IN BEING A MUSEUM VOLUNTEER:


AT WHICH MUSEUM(S) WOULD YOU LIKE TO VOLUNTEER:

AVAILABILITY:
MondayTuesdayWednesdayThursdayFridaySaturdaySundayMorningAfternoon
HOW DID YOU HEAR ABOUT THE VOLUNTEER PROGRAM:


ARE YOU A MEMBER OF THE MUSEUMS:
YesNo
EDUCATION:

School: City: Degree: Major:

EMPLOYMENT:

Employer: City/State: Phone: Job Title: Supervisor:

Currently EmployedRetiredCurrently Unemployed
REFERENCES:

Name: Phone: Relationship: Name: Phone: Relationship:

By clicking submit I authorize Kenosha Public Museums to contact references and employers included in my application as it pertains to my volunteer service. I understand that all information collected will be kept confidential.