Start Date: Department:
Postal History
Foundation Start
Date :______________
VOLUNTEER APPLICATION
Name: ______________________________________________________________
Address:_____________________________________________________________
City: _____________________ State: ___________ Zip: __________________
Phone: (Home)____________(Work)______________ (Cell) ___________________
Email: _______________________________
Emergency Contact (Name/Phone) _______________________________________
I. Skills and
Interests
l. Educational Background: ______________________________________________
2. Current/Past Occupation: ______________________________________________
3. Interests/Skills: ______________________________________________________
4. Philatelic Skills: _____________________________________________________
5. Previous Volunteer Experience (type/place): _______________________________
6. Languages Spoken: ___________________________________________________
II. Volunteer
Preferences
Please check all that apply so that we can match your preferences with our needs.
___Prefer to work alone
___Prefer teaming with another volunteer
___Reading aloud or teaching large groups of children (15 or more)
___Reading aloud or teaching small groups of children
___Designing educational games and products
___General office tasks
___Inventory taker
___Filing stamps
___Stamp/philatelic sales
___Stamp sorting
___Stamp soaking
___Stamp acquisitions
___Postal clerk
___Archivist
___Stamp packet preparation for youth programs
___Inventory
___Newsletter writing and preparation
___Grant writing
___Fundraising
___Assisting with special events (eg: yard sale, 4th Ave Street Fair booth)
___Computer assistance to staff/volunteers
___Data Entry
___Exhibit preparation
___Tour guide
___Library assistant
___Facility maintenance assistant
III. Availability
l. At what times are you available to volunteer:
___Mon am ___Tues am ___Wed am ___Thurs am ___Fri am ___Sat/Sun
___Mon pm ___Tues pm ___Wed pm ___Thurs pm ___Fri pm
2. Do you have reliable transportation? _yes ___no
IV. Background
Verification
l. Have you even been convicted of a criminal offense? _____yes _____no
2. Have you ever been charged with neglect, abuse or assault? ___yes ___no
3. Has your driver’s license ever been suspended or revoked in any state? ____yes ___no
4. Do you have any physical limitations that might limit your ability to volunteer? _____yes ___no
5. Please list two non-family references who we might contact:
Name Phone
Name Phone
The information I have provided on this form is complete and accurate.
Signature __________________________________________ Date __________