COGNiTiON Volunteer Application
Thank you for your interest in helping your local Science and Discovery Center! By selecting items of interest and availability you are not formally committing to anything, we're just starting the conversation. We host monthly volunteer trainings, for dates check our facebook event. For descriptions of the volunteer needs, cut and paste this address into a browser window:

All information you provide will be kept confidential and used only for volunteer purposes.
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Email *
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About You
Name *
Phone Number *
Address *
Tell us anything about your background, skills, and interest that can help us understand how to best fit you into the team.
Interest and Availability
How would you like to help? (Select all areas of interest) *
I prefer volunteering:
Dates Available:
Please check available times or preferences
Additional notes on availability
Background and Permissions
Birthdate/Gender/Race(For Background Check Only)
Please list two personal or professional references: Name, Telephone, Email, Company, Relation
Have you ever been convicted of a crime? *Please note that most volunteer positions require a background check
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If yes, please explain
Anything else you would like to share with us about yourself or ideas you have?
Cognition has permission to use my likeness for promotional of the center and possibly printed materials. (For example, my picture helping at Cognition could be posted on the center’s facebook page or in a newspaper article)
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Please list any maiden name(s) or alias
Please type full name as signature
Thank you for your time and interest! We'll be in touch soon!
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