REGISTER AS A VOLUNTEER

Volunteer Registration Form. Fields marked with * are required.

* Title:
* First Name:
* Last Name:
* Address:
* City:
* Province:
* Postal Code:
Phone home:
Phone work:
Cell phone:
Email:
* Emergency contact name: Phone:
* Specify if we contact you via Home phone Office phone Cell phone Email

 

* 1. Your interest in Esplanade department of volunteer work? (check all that apply or specify a department of interest)

  Art Gallery Museum Archives Education Programming Gift Shop Volunteer Program Visitor Services Theatre GALA

 

* 2. Describe your work situation:

Working   Retired  Seeking Work  Self-employed  Student   Other 

 

* 3. Hobbies & Interests

* 4. Skills

 

5. Preferred age group towork with (check all that apply): Children Teens Adults Seniors

 

* 6. What times are you interested in volunteering?

I prefer, as below:

MondayAM   PM   Eve  
TuesdayAM   PM   Eve  
WednesdayAM   PM   Eve  
ThursdayAM   PM   Eve  
FridayAM   PM   Eve  
SaturdayAM   PM   Eve  
SundayAM   PM   Eve  

7. Are you available on short notice? Yes   No  


* 8. I would be available starting Click here to pick a date:

9. Restrictions: e.g. no lifting:

 

10. How did you hear about us?

Esplanade Website Advertisment Poster Referred by friend / volunteer Referred by city staff Referred by Volunteer Centre Other

 

11. I think of myself as being most interested in volunteer work which allows for me to:

interact with others work with others in an office setting (not in the public eye) be independent & in a quiet environment exercise leadership

 

* 12. Identify areas of volunteer interest

As an example, if the following volunteer activities were offered and considering that you would receive training in any of these area please check off boxes for each position you would be interested in committing to at the Esplanade.

Administrative Assistance
Data Entry Filing Fundraising Office Assistance Telephone Calling

Archives
Assisting with special events Data Entry Filing Photograph Re-housing Researching/writing Scanning photos

Art Gallery
Exhibit Installation Interpreter / Monitor Juror Receptions Record Maintenance

Assistance for Special Needs
Other With persons in wheelchairs With senior citizens With the hearing impaired With the visually impaired

Education
General tour guide On-site School visits Programming Assistance Workshop activities support

Esplanade Gift Shop
Book signing Promotions &/or display Sales assistant

Museum
Assist Exhibit Technician Collection Photography Data Entry Filing Museum collection inventory

Theatre
Customer Service Fabrication Assistance Merchandise Sales On Call Usher Seamstress Spotlight Operator Stage Crew (Physically Able) Standby Telephone re usher shifts Theatre Crew Usher Wardrobe Assistant

Visitor Services
Gallery Docent Greeting & Directing Visitors Hospitality / VIP visit assistance

Volunteer Program
Newsletter Recruitment Scheduling Social Activities: e.g. Thank you activities

Other:
Is there something else you would be interested in helping with that is not mentioned on the list? Please specify:

*13. Support required? (this means if you need someone to help you with your volunteer work, for example due to a disability)
Yes   No  

Support person name:
Support person organization:
Support person phone #:

* 14. List name and phone numbers of 1 to 2 personal references:

Name: Phone:

Name: Phone:


*15. Permission to Conduct Reference Check:

I , hereby authorize the City of Medicine Hat Esplanade Arts & Heritage Centre to contact the above references in connection with my application.


I understand that I will be required to complete a Medicine Hat Police Services Security Check.

*** Personal information will not be used or disclosed for purposes other than those for which it was collected, except in the consent of the individual or as permitted by law.


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