museum-ambassador-volunteer-application_2

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MUSEUM AMBASSADOR APPLICATION Semester(s): O Fall O Spring O Both Application date:_______ / ______ / __________

Please complete the following information.

I. Contact Information Name: _________________________________________________________________________ (last)

(first)

(middle)

Address:____________________________________________________________________________ City:________________ State:______ Zipcode:______________

Telephone: _________________________

Email address:________________________________________ Date:__________________

II. Availability At what times are you available to volunteer for the Museum? Please check all times that apply. Note that the Museum is closed on Mondays; however, please indicate if you are free at any time on Mondays for other Museum related opportunities. *Special Event opportunities will be available on weekends and evenings*

Information Day Monday Tuesday Wednesday Thursday Friday Saturday

9:00-10:00

10:00-11:00

11:00-12:00

12:00-1:00

1:00-2:00

Are you interested in Special Event opportunities on weekends and evenings?

2:00-3:00

O Yes

3:00-4:00

O No

III. Skills/Interests Classification: ________________ Major: __________________________ Minor: ______________________________ Hobbies/Interests/Skills: ______________________________________________________________________________ ______________________________________________________________________________ Group Affiliations: __________________________________________________________________________________ __________________________________________________________________________________ Previous volunteer experience: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Have you ever worked or volunteered in a museum?

O Yes

O No

If yes, please complete the following: Institution name: ______________________________

Dates:_______________

Describe your Duties: _______________________________________________________________________________

__________________________________________________________________ Museum Ambassador Application – page 1 of 2

Is there a particular type of volunteer work that interests you? Check all that apply.

O Art handling O Cataloguing collections O Event publicity O Exhibition installation O General administration O Guided tours O Host special events

O Membership management O Museum mailing O Museum reception desk O Program development O Research O Other __________________________________

Is there a special talent or skill that you possess that will be particularly useful to the Museum? _________________________________________________________________________________________________ _________________________________________________________________________________________________ Is there a specific group you are particularly interested in working with? Check all that apply.

O Adults O Children

O Disabled O No Preference

O Senior Citizens O Students

O Other ___________________

How did you hear about the Museum Ambassador Program?

O Flyer O Instructor

O Museum staff O Word of mouth

O Faculty O Other___________________

IV. Emergency Contact Information Name:______________________________________________ Relationship: ___________________________________ Phone: ____________________________________ Alt. Phone: ______________________________

V. Signature Sign:_______________________________________________________ Date: _______________________________

Please return completed application to the Museum's administrative offices located on the second floor, Room 218 or the Museum located on the first floor of the Camille Olivia Hanks Cosby, Ed.D. Academic Center Reserved for Museum Staff use

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Museum Ambassador Application – page 2 of 2