Volunteer Application

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Preferred method of contact*

What interests and experience (work or volunteer) will help you as a Jansen Art Center volunteer?*

Why are you interested in volunteering at the Jansen Art Center?*

In what area(s) would you like to volunteer?*

Is there a volunteer area you are interested in that is not listed above? If so, please describe it here.

What days and times are you available to volunteer?

Please list any physical limitations (if none, please write "n/a")*

Emergency Contact

Please provide the name and contact for one Emergency Contact

Emergency Contact*

First Last

Emergency Contact Email*

Emergency Contact Phone*

This notice informs the applicant that as part of our evaluation procedure for volunteers, we may perform a background check.