Behind-the-Scenes Volunteer Program

[Pages:3]Behind-the-Scenes Volunteer Program

Visitor Information and Associates' Reception Center Smithsonian Institution

Application: please print or type

Name

Date

Current address

City

State

Zip+4

Home Phone (

)

Permanent address

?

E-mail

Other (Work/Cell) Phone (

)

I give permission for my name and address to be put on a general mailing list to receive any mailings from other Smithsonian departments. Yes ____ No _____

Emergency contact:

Name

Relationship

Phone ( )

Note: Participants may be photographed for educational, archival, and public relations purposes for the Smithsonian and the Behind-the-Scenes Volunteer Program. Also, volunteer appointments for applicants 18 years and older will be subject to successful completion of a background investigation.

Your signature

? ? If you are under 18, please provide: Age

Date of birth

month/day/year

Parents of minors must complete and sign a "Consent to Treatment" form. An interview is scheduled

with the applicant only after the Behind-the-Scenes Volunteer office has received this completed form.

Please call the Behind-the-Scenes Volunteer Program at 202-633-2987 to request this form or down-

load it off our Web site at si.edu/volunteer/parentconsent.pdf.

Education:

List any colleges or universities attended, degrees, and major fields of study

School School Other

Degree Degree

Major Major

If you are a high school student, please provide:

School

Grade

City/State

Availability (Monday-Friday, during business hours only):

Start date

End date

Total hours per week you want to volunteer

month/day/year

month/day/year or open

Preferred Hours

Cover art: Bill Blandy

Morning Afternoon

Monday

Tuesday Wednesday Thursday

Friday

Skills: (check all that apply)

highly

General skills

skilled

Academic Research

u

American History

u

Anthropology

u

Art History

u

Aviation

u

Biology

u

Drawing/Painting

u

Fundraising/Special Events u

Geology

u

Graphic Design

u

Horticulture

u

Librarianship

u

Music

u

Photography

u

Public Relations

u

Secretarial

u

Sewing/Weaving/Crafts u

Teaching

u

Transcription

u

Writing/Editing

u

Other (please specify)

u

u

some experience u u u u u u u u u u u u u u u u u u u u

u u

Computer skills Databases Spreadsheets

highly

skilled u u

WordPerfectTM

u

Microsoft WordTM

u

Other Word Processing u

Adobe Photoshop?

u

Adobe Pagemaker?

u

HTML

u

Programming

u

Other (please specify)

u

u

some experience u u

u u u

u u u u

u u

Language skills

Foreign language ( please specify)

uu

uu

Sign language

uu

How did you hear about volunteering at the Smithsonian?

u Smithsonian volunteer u Smithsonian Associate (RAP newsletter) u Smithsonian staff member u Friend/Relative u Smithsonian Web site

u VolunteerMatch u The Washington Post u High school career development program u College bulletin board/placement office u Other

Have you ever applied to be a Smithsonian volunteer before?

u Yes u No If yes, when?

Which volunteer program (VIU, BVP, docent, etc.)?

What are your objectives in seeking a volunteer position at the Smithsonian?

Previous Experience

1.

Organization Supervisor's name Duties

2.

Organization Supervisor's name Duties

Work Experience

City/State

Title of position Supervisor's title

Dates of position Supervisor's telephone

City/State

Title of position Supervisor's title

Dates of position Supervisor's telephone

1.

Organization

Supervisor's name

Duties

Volunteer Experience

City/State

Title of position Supervisor's title

Dates of position Supervisor's telephone

2.

Organization

Supervisor's name

Duties

City/State

Title of position Supervisor's title

Dates of position Supervisor's telephone

You may also submit a 2-page r?sum? with this application.

References (list two persons, not relatives, different from above)

Name

Phone (

)

Name

Phone (

)

For office BTS# use only Sup

Reg date TK

Start Entered

Org Term date

I:\publications\A Projects\appl_bvp\appl_bvpgeneral.p65 4/2007

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