Lutz Museum Online Volunteer Application Form

Please complete the form below and click on the submit button.

Please take a moment and verify that all the
information you entered is accurate.

* Required Fields

Contact Information
     
  Name *
  Date of Birth *
  Street Address *
  City *
  State *
  Zip *
  Email *
  Home Phone *
  Work Phone
  Cell Phone
     
Availability
  Tuesday Wednesday
  Thursday Friday Saturday
  Sunday    
Interests
  Special Events Clerical Assistance
  Animal Care Class/Tour Assistance Newsletter Assistance
  Exhibit Maintenance Data Entry Volunteer Coordination
  Handyperson/Carpentry    
How did you learn about volunteer opportunities at the Lutz?
Please summarize any special qualifications you have aquired from employment, previous volunteer work, or through other activities, including hobbies and sports
 
Previous Volunteer Experience
Please summarize your previous volunteer experience.
 
Previous Work Experince
Please summarize your previous work experience.
 
Have you ever been convicted/charged of a crime?
* No Yes
Why would you like to volunteer?
To help the community
required hours for school, church, scouts, etc. *if so, please give us your advisor as a reference
  Name
  Title
  Phone
  Number of Hours
  Due By
court ordered hours *if so, please give us your probation or parole officer as a reference
  Name
  Title
  Phone
  Number of Hours
  Due By
     
References
Please give us one personal and one professional reference.
  Name *
Relationship *
Phone *
  Name *
Relationship *
Phone *
     
Person to notify in case of emergency
  Name *
Relationship *
    Home Phone * Work Phone
 Cell Phone
 
Agreement
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 being reprimanded and/or immediate dismissal.  I am also aware that there will be additional guidelines given to me on first day of volunteering and will do my best to adhere to those guidelines.
 


Thank you for completing this application form and for your interest in volunteering with us.