Fillable VOLUNTEER APPLICATION

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VOLUNTEER APPLICATION

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The VOLUNTEER APPLICATION form is 4 pages long and contains:

  • 1 signature
  • 27 check-boxes
  • 104 other fields

Country of origin: OTHERS
File type: PDF

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Page
1
VOLUNTEER APPLICATION
Golden History Museum & Park
City of Golden, 911 10th St., Golden, CO 80401
Phone: 303-384-8000 Fax: 303-384-8118
Email: HRweb@cityofgolden.net
The City of Golden is an Equal Opportunity organization. It is our intention that all qualified applicants are given equal opportunity and
that selection decisions are based on volunteer opportunity factors. Volunteer placement is a selection process and not all applicants
are accepted into the program. The City reserves the right to place volunteers in the area the City feels is best suited to your skills and
the needs of the City. No volunteer position is guaranteed, and positions may be terminated at the City’s sole discretion.
INSTRUCTIONS
PLEASE PRINT OR TYPE your answers. Incomplete or illegible applications will not be processed.
Use blank paper if you do not have enough room on this application.
Applications without an affidavit signature on the last page will not be accepted.
Volunteer Opportunity
Date
Personal
Last Name First Middle
Primary Telephone
Street Address
Alternate Telephone
City, State, Zip
Email Address
Do you have any relatives affiliated with the City now? Yes No
If yes, give name and department
If under age 18 please provide your age
How did you hear about volunteering at the City of Golden?
City Website Golden History Museum & Park City Staff/Volunteer Family/Friends School
Other:
Education
School Name and Location of School
Course
of Study
No. of
Years
Completed
Did you
Graduate
Degree or
Diploma
High School/GED
Business/Trade
Technical
College
Graduate
Give the greatest
gift of all …
Volunteer!
Page
2
Volunteer Positions of Interest
Please check any areas that may be of interest to you as a volunteer.
Type of Assignments
Museum Front Desk History Park Interpretation Collections and Research Special Events Chicken Caretaker
Specific Skills (Check All That Apply)
PastPerfect Software
Collections and/or Photo Handling
Research
Event Planning
Blacksmithing
Woodstove Cooking
Foreign Language
Gardening
Animal Care
Crafts
Availability to Volunteer
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
Morning
Afternoon
Evening
Current / Past Employment
Please give complete full-time and part-time employment history including military
service for the last 10 years
. Start with your present or most recent employer FIRST.
If self-employed, give firm name and business references.
Company Name
Telephone
Address
Employed (Month and Year)
From To
Name of Supervisor (must be filled in)
Reason for Leaving
Job Title
Job Description
Reason for and length of inactivity between employers.
Company Name
Telephone
Address
Employed (Month and Year)
From
To
Name of Supervisor (must be filled in)
Reason for Leaving
Job Title
Job Description
Reason for and length of inactivity between employers.
Page
3
Current/Past Volunteer Experience
Company/Organization Name
Telephone
Address
Employed (Month and Year)
From
To
Name of Supervisor (must be filled in)
Reason for Leaving
Volunteer Job Title and Duties
Company/Organization Name
Telephone
Address
Employed (Month and Year)
From
To
Name of Supervisor (must be filled in)
Reason for Leaving
Volunteer Job Title and Duties
Have you been fired from a job or asked to resign in the last 10 years? Yes No
If Yes, please explain:
References
Give three references, not relatives, who have definite knowledge of your business, professional, or volunteer
qualifications.
Name
Relationship
Phone
Email
Name
Relationship
Phone
Email
Name
Relationship
Phone
Email
Page
4
AFFIDAVIT
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING
I certify that all information provided in this application is true and complete. I understand that any false information
or omission may disqualify me from further consideration and may result in my dismissal if discovered at a later date.
I authorize the investigation of any or all statements contained in this application and also authorize any person,
school, current employers (except as previously noted), past employers, and organizations named in this application
to provide relevant information and opinions that may be useful in making a selection decision. I release such
persons and organizations from any legal liability in making such statements.
I understand that in the course of volunteering, I may participate in or create intellectual property on behalf of the
City. I understand that all such property, and all rights to its use, belonging exclusively to the City. I shall exercise
due diligence in ascertaining the ownership of any non-City intellectual property prior to its use by the City and shall
work with appropriate City personnel to protect City intellectual property.
I have read, understand, and by my signature consent to these statements:
Signature: Date:
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VOLUNTEER APPLICATION

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Completed 1 May 2021

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