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2. First Name*
3. Last Name*
5. Address1*
7. Address2
9. City*
10. State*
11. Zip*
13. Primary Phone*
14. Secondary Phone
16. Email Address
18. Which volunteer opportunity are you interested in?*
    -- Select One --Volunteer Museum GreeterMuseum Grounds CrewEducation Event VolunteerDocent ProgramWherever I'm Most Needed
20. Check days you are available to help:*

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
21. Check the time-frames you are available to help.*

    1. Mornings (8 AM - 12 PM)
    2. Afternoons (12 PM - 5 PM)
    3. Evenings (After 5 PM)

    (A more detailed schedule will be developed with the volunteer once an assignment is made.)

22. I am interested in the following type of assignment:*

    1. One-time or temporary assignment
    2. On-going or regular assignment
    3. I am happy with either or both
    4. I am unsure
24. Please tell us why you are interested in volunteering with the Springfield Art Museum.*
26. Previous Work/Volunteer Experience

    Please provide your history of past work or volunteer experience.

28. Employer/Organization
30. Job Title and Duties
32. Length of Service
33. Supervisor and Contact Information
35. Employer/Organization
37. Job Title and Duties
39. Length of Service
40. Supervisor and Contact Information
42. Employer/Organization
44. Job Title and Duties
46. Length of Service
47. Supervisor and Contact Information
49. Please tell us about any special skills or experience you have that might help with your volunteer assignment.
51. References

    Please provide at least three (3) personal or professional references below.

53. Name*
54. Phone Number*
56. Relationship*
57. How long have you known this person?*
59. Name*
60. Phone Number*
62. Relationship*
63. How long have you known this person?*
65. Name*
66. Phone Number*
68. Relationship*
69. How long have you known this person?*
71. Volunteer applicants may be required to undergo a background security check and certain volunteer assignments are contingent on the results of the background security check.*

    1. I understand that the authorization of a background security check may be required as part of the volunteer application process.
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73. 1. Receive an email copy of this form.
74. Email address

    This field is not part of the form submission.

75. Submit

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