Southwest Seattle Historical Society Volunteer Placement Form
For Students/Interns: School Name
Emergency Contact Name and Contact Information
Tell us a bit about yourself: Hobbies/Interests, relevant education/training
How did you learn about our volunteer opportunities?
How frequently do you want to volunteer?
I want to volunteer occasionally
I want to volunteer regularly (weekly/monthly)
Skills interested in using as a volunteer:
Making phone calls
Working with children
Greeting/docenting at our museum
Please read the following carefully before signing this form
I understand that this is an application for and not a promise of volunteer opportunity. I will read and accept any position description that is provided to me. I understand that particupation os contingent upon a satisfactory result from a background check. I understand that I will be required to attend orientation and training sessions relevant to my volunteer work.
Driver's License Number
Please place your initials on the line to effectively provide your signature: I agree to hold the Southwest Seattle Historical Society, its agents, officers, employees and volunteers harmless from any liability, loss, expense or claim for injury or damages arising from my participation in this program.
Please place your initials on the line to effectively provide your signature: I give permission for the creation or use of photograph, slides, audio, video, other recordings or written text of me by the Southwest Seattle Historical Society in their archives.
Please place your initials on the line to effectively provide your signature: I give permission for my name, address and/or e-mail to be put on a general mailing list to receive any mailings from the Southwest Seattle Historical Society:
Please place your initials on the line to effectively provide your signature: I certify that on this application and in interviews with the Southwest Seattle Historical Society I have and will provide information that is true, correct and complete to the best of my knowledge. I certify that I have answered and will answer all questions to the best of my ability and that I have not withheld any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by the Southwest Seattle Historical Society I understand that misrepresentations or omissions may cause my rejection as an applicant for a volunteer position with the Southwest Seattle Historical Society or my termination as a volunteer.
If volunteer is a minor, please provide initials of parent/guardian.
We welcome you as a volunteer at the Southwest Seattle Historical Society. We hope that your volunteer time with us will be a positive and rewarding experience. If you have any questions about this form or about the volunteer program, please email
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