JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Volunteer Application - Perry County Council Of The Arts
Thank you for your interest in volunteering with PCCA!
Please complete the questionnaire below.
Our Community Engagement Coordinator will be in touch shortly regarding your application.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Contact Information
Last Name
*
Your answer
First Name
*
Your answer
Street Address
*
Example: 123 Main Street
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Primary Phone Number
*
Please include area code.
Your answer
Email Address
*
If you do not use e-mail, enter "None"
Your answer
Secondary E-mail Address
Your answer
Are you willing to obtain:
*
Please select all that apply. Clearances should be dated no more than 12 months prior to volunteer's start date.
Act 151 Pennsylvania Child Abuse History Check (free for volunteers)
Act 34 Pennsylvania Criminal History Record Check (free for volunteers)
I need assistance obtaining these clearances.
Required
I enjoy working with:
Adults
Families
Senior Citizens
Children (pre-schoolers)
Children (Grades K-6)
Teens/Youth (Grades 7-12)
Tell us in which areas you are interested in volunteering.
*
Database Maintenance/General Filing
Computer/Internet Service
Accounting Assistance
Mailings Team
Proofing/Editing
Graphic Design
Photography/Video Production
Fundraising
Sales/Marketing
Finance/Budgeting
Tour Guide/Docent
Landscaping
Special Events- Food Service
Special Events- Planning
Construction/Maintenance
Baking/Potluck
Grounds Maintenance
Cleaning
Light Maintenance
Drop-In Art Volunteer
Conservation/Museum Collection Studies
Historical Research
Promotional “Street Team”
Offsite events/PCCA Ambassador/Table Representative
Emcee for Events
Special Events- Guest Judge/Scorer
Student Mentoring
Required
Prior Volunteer Experience
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.
*
Your answer
I have previously volunteered with the following organizations:
*
Your answer
Summarize your previous volunteer experience
Your answer
Person to Notify in Case of an Emergency
*
Last, First
Your answer
Street Address
*
Example: 123 Main Street
Your answer
City, State, Zip
*
Your answer
Primary Phone
*
Please include area code
Your answer
Work Phone
*
Please include area code
Your answer
E-mail Address
Your answer
Our Policy
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.
Volunteer Agreement
By typing my name below and submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer any false statements, ommissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
Full Name
*
By typing your full name below you are indicating your acceptance of the above volunteer agreement.
Your answer
Today's Date
*
MM/DD/YY
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms