New Market Battlefield * Historic Bushong Farm * Shenandoah Valley Tourist Information Center
P.O. Box 1864, 8895 George Collins Parkway, New Market, VA 22844
540-740-3101 (voice) 540-740-3033 (fax)
www.vmi.edu/newmarket
Volunteer Application
Department of Historical Interpretation
Application Date________________
PERSONAL INFORMATION
Name_____________________________________________________________
Birthdate____________________
Home address_______________________________________________________
Email address_______________________________________________________
Home phone_________________________ Work phone__________________________
Education (indicate the highest level completed)
High school 1 2 3 4
College 1 2 3 4
Graduate 1 2 3 4
Emergency Contact Information:
Name:_________________________________________
Address:________________________________________________________________
Telephone (day):_________________Telephone (evening):________________________
Relationship:____________________________________
EMPLOYMENT
Current employer, if applicable____________________________________________________
Address_______________________________________________________________________
Position/Title___________________________________________________________________
SKILLS, EXPERIENCE, ETC.
Please describe special training, skills or hobbies that would benefit your work at the Virginia
Museum of the Civil War_________________________________________________________
_____________________________________________________________________________
Please describe your prior or current volunteer experience (include organization names and dates
of service)_____________________________________________________________________
______________________________________________________________________________
Why do you want to volunteer or what do you want to gain from this volunteer experience?____
______________________________________________________________________________
______________________________________________________________________________
RECORD OF CONVICTION: Have you ever been convicted of a felony or misdemeanor?
If yes, pleaseexplain_____________________________________________________________
REFERENCES
Please list three people who know you well and can attest to your character, skills and
dependability. (NOT family members)
Name Relationship to you Phone and or email
1.____________________________________________________________________________
2.____________________________________________________________________________
3.____________________________________________________________________________
PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING THIS APPLICATION
I understand that this is an application for and not a commitment or promise of volunteer opportunity.
I understand that all Virginia Museum of the Civil War (VMCW) volunteers serve at the pleasure of the Director.
I certify that I have and will provide information throughout the selection process, including on this application and
in interviews with VMCW, that is true, correct and complete to the best of my knowledge. I will not withhold
information that would unfavorably affect my application for a volunteer position. I understand that information
contained on my application will be verified by VMCW. I understand that misrepresentations or omissions may be
cause for the immediate rejection of my application or my termination as a volunteer.
Signature___________________________________________ Date____________________
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