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Volunteer Application
Thank you for your interest in volunteering with Taliesin Preservation.

Our organization encourages the participation of volunteers who support our mission. If you agree with our mission and are willing to be interviewed and trained in our procedures, we encourage you to complete this application. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you.
Email address *
Name *
Street Address *
City *
State *
ZIP *
Phone Number: *
Type of Phone:
Email: *
Preferred Form of Contact (check all that apply)
Previous Volunteer Experience
If yes, tell us about your previous volunteer experience:
Languages spoken:
Any special talents or skills you have that you feel would benefit our organization:
Any physical limitations we should consider:
Clear selection
Please tell us which areas of our organization interest you most:
Please tell us about the type of time commitment you are able to make:
Please tell us when you are most available: *
AM
PM
On Demand
Not available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Emergency Contact (Provide at least one. Include name, phone number and relationship) *
Episodic Volunteer Agreement & Photo Release Authorization:
In consideration of my voluntary participation in the activities sponsored by the Frank Lloyd Wright Foundation and Taliesin Preservation, Inc. (Organizations), I hereby assume all risk of injury, damage, and harm to myself and my property arising from such volunteer activities, except to the extent that such injury, damage, or harm is caused by intentional misconduct or gross negligence of the Organizations. I also hereby individually, and on behalf of my heirs, executors, and assignees, release and hold harmless the Organizations, their employees and agents, and any of their affiliated organizations and waive any right of recovery that I might have to bring a claim or lawsuit against them for any personal injury, death, or other consequences that arise out of my volunteer activities and that are not caused by any intentional misconduct or gross negligence of the Organizations. The Organizations have my full permission to use my photograph, or likeness, for any promotional purposes that they deem appropriate. These purposes may be for internal or external use and may include collateral materials, newsletters, advertising, marketing, publicity, or other uses.
Episodic Volunteer Agreement & Photo Release Authorization: *
Required
Volunteer Name (electronic signature) *
Date:
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/
DD
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YYYY
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