Emergency Contact Name
Emergency Contact Phone
* Emergency Contact Phone
Professional Reference Name
Professional Reference Phone
* Professional Reference Phone
Professional Reference Email
Foreign Languages Spoken
Occupation (former or present)
If "other" was selected, please list:
If you have any special talents you would like to share, such as flint knapping, wood carving, basket weaving, signing, etc, please let us know:
Would you like to volunteer at least:
2.5 hours every week
5 hours every other week
Please list your availability to volunteer.
PLEASE READ CAREFULLY Volunteers are the face and the voice of the Western Science Center. The Western Science Center maintains the final decision in determining the eligibility of prospective Volunteers through satisfactory completion of all course requirements. Continual evaluations will be conducted to maintain high standards of performance. If a Volunteer (in training or practice) does not follow the policies and philosophy of the Western Science Center, he/she will be asked to resign. Volunteers should understand the Western Science Center’s educational goals and maintain a professional attitude and appearance at all times. Failure to adhere to the responsibilities as outlined in the Volunteer Manual and above concerning training, attendance, assignments, and evaluation, may affect final acceptance and continuation in the Volunteer Program. I, _________________________, understand that the Volunteer Program is a one-year commitment, in addition to training session(s), and that acceptance into the Western Center’s Volunteer Program is on a provisional basis until it is determined that I have successfully completed training. I agree to a criminal background check with fingerprinting. If I possess a current Department of Justice clearance, I will supply proof.
Yes, I have read the volunteer agreement and agree to the above terms.