SciTech Volunteer Application
We are dedicated to educating people and fostering an enthusiastic excitement about Science and Technology. As a volunteer, you would help us facilitate learning,and encourage that enthusiasm. PRIOR SCIENCE KNOWLEDGE IS NOT REQUIRED FOR ALL VOLUNTEER POSITIONS. Training is provided to make sure all our volunteers are comfortable in their roles facilitating the visitor's experience. Come be a part of the team at one of the best learning Facilities in the Fox Valley!
Contact Information
Name
Your answer
Street Address
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City
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State
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Zip Code
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Phone
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Email Address
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Availability
Museum hours are Tuesday through Saturday from 10 am to 3 pm. In addition there are occasional evening programs that need volunteers.

Check all that apply.

What days of the week are you available?
Required
What times of day are you available?
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Interests
Interests
Required
Special Skills or Qualifications
Let us know of any special skills or qualifications you may have, either from previous employment, volunteer work, hobbies, or other activities and interests
Summarize...
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Previous Volunteer Experience
Please let us know if you have volunteered before, for which organization you volunteered, and who was your supervisor. If you do not have any other volunteer experience, please type NA.
Organization
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Your position
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Supervisor/Contact Name
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Supervisor/Contact Phone
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Reference #1
Please provide two (2) non-family member references and their phone numbers and email addresses to contact them.
Reference #1 Name
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Reference #1 Relation
Your answer
Reference #1 Phone
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Reference #1 Email
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Reference #2
Reference #2 Name
Your answer
Reference #2 Relation
Your answer
Reference #2 Phone
Your answer
Reference #2 Email
Your answer
Emergency Contact
In case of emergency whom would like us to contact on your behalf. If a minor please provide both parents cell numbers in the order you would like them called. i.e.: Mom/Dad 1-xxx.xxx.xxxx/1-xxx.xxx.xxxx
Emergency Contact Name
Your answer
Emergency Contact Relation
Your answer
Emergency Contact Phone
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Electronic Signature
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Agreement and Signature
By 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, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
Photo Release and Hold Harmless Agreement,
I agree that SciTech Museum may use my likeness in any brochures and promotional materials that will be used in promoting SciTech Hands on Museum. I recognize and acknowledge that there may be a risk of physical injury and I agree to assume the full risk of any injuries including death, damages or loss which I may sustain as a result of participating in any and all activities connected to or associated with the Volunteer Program. I agree to release and hold harmless SciTech Hands On Museum, its agents, employees, volunteers and Board of Directors from all damages, judgments, expenses, (including attorney fees), costs or liabilities suffered because of injury or damage of property, which may arise out of, or as a consequence of any volunteer work I may perform.
I understand that SciTech may conduct a background check and I will provide any additional information as requested.
Date
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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.
Thank you for completing this application form and for your interest in volunteering with us.
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