Application for Ohio Statehouse Volunteers
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Name *
Address *
City *
State *
ZIP *
Email address *
Phone number *
Highest level of education you've completed (please select from list) *
Why are you interested in volunteering at the Ohio Statehouse? *
Describe your experience working with the public. *
Describe your experience working with school-aged children. *
 I like history *
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statement about yourself:
Required
I like archtitecture *
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statement about yourself:
Required
I am familiar with Ohio government *
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statements about yourself:
Required
I enjoy sharing information with people *
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statement about yourself:
Required
I enjoy helping people *
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statements about yourself:
Required
I enjoy learning about new things *
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statement about yourself:
Required
I am comfortable with basic technology *
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statements about yourself:
Required
I enjoy working with adults
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statements about yourself:
I enjoy working with school children *
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statement about yourself:
Required
I like to work on research *
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statements about yourself:
Required
I enjoy challenges *
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statement about yourself:
Required
I like to be active *
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statements about yourself:
Required
My schedule is flexible *
On a scale of 1 to 5, with 1 being "not at all" and 5 being "absolutely yes," please rate the following statement about yourself:
Required
Final comments
Is there anything you'd like to add or tell us about yourself?
If you would like to contact the Volunteer Coordinator, please leave a comment in the box or use the info that is listed below:
Dayna Jalkanen  djalkanen@csrab.state.oh.us or 614-297-2697
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