VOLUNTEER APPLICATION

& RELEASE FORM

All Cameron Art Museum volunteers are asked to:

  • Submit a Volunteer Application & Release Form
  • Meet orientation and training requirements associated with volunteer position
  • Commitmentof six (6) months as a volunteer (exceptions may apply)
  • Be minimum of 15 years old

PERSONAL INFORMATION

We are committed to your privacy and never rent, exchange or sell this information to anyone.

Last Name ______First Name______

Street Address ______

City, State, ZIP ______Birth Month/Year: ______

Phone:______Email: ______

Emergency Contact Name & Phone: ______

Minors (15-17 years old or high school student) parent/guardian *information and *signature are required

*Parent/Guardian Name: ______Phone: ______

Relationship to above volunteer: ______

Are you -

-a member of Cameron Art Museum? Yes / No

-if fulfilling a graduation requirement specifyhours required: ______Deadline: ______

-if fulfilling a court-orderedcommunity service requirement specify hours required ______Deadline: ______

Will you agree to a background search? Yes/ No

VOLUNTEER INTERESTS & AVAILABILITY Review the volunteer program description page on the Cameron Art Museum website for positions that match your skills, interests and time schedule.

Volunteer Positions:

Visitor Services Desk/Museum Shop

10am – 2pm2pm – 5pm5pm – 9pm (occasional Wednesday/Thursday)

Call Center/Administrative Office

 9am – 2pm 2pm – 5pm

Docent – Between 11am-4pm (Saturday’s and various other times)

 Special Events (as needed, some nights and weekends)

 2014 Festival of Trees, Nov. 22- Dec. 7

 2015 Civil War Living History Weekend, Feb. 5-8

 2015 Gala

Children’s Events/Programs

AvailabilityPreference:

 Weekly (#of day’s ______)  Twice Monthly  Special Projects  On-Call

SKILLS & EXPERIENCE

 Retail  Telephone System  Cash Register  Credit Card Terminal  Food & Beverage  Data Entry

Online Transaction Basic keyboard use  Data Entry  Word  Spreadsheets Excel Word

PowerPoint MS Publisher  InDesign  Graphic  Public Speaking  Oral Presentations  Acting

 Storytelling  Writing/Correspondence  Second Language: ______

Do you use any forms of social media?  Yes, I love it! Yes, but only to keep in touch with people  Yes, but only for business purposes  No way! I’m not a fan of any of that.

Which of the following do you use?

Facebook Twitter  LinkedIn MyspaceGoogle+ Other (please specify): ______

List organization where you currently volunteer: ______

Contact information: ______

List any other volunteer experience: ______

Contact information: ______

What other professional experiences or hobbies would you like to share? ______

How did you learn about volunteer opportunities at the Cameron Art Museum?______

List physical limitations (if any):______

List any Medical conditions, needs or concerns that CAM staff should be aware of: ______

______

Current Occupation:

EDUCATION

School ______Year Graduated______Major/Degree ______

School ______Year Graduated _____ Major/Degree ______

REFERENCESList two references familiar with your skills and work habits (other than family members).

First Reference

First Name, Last Name ______Relationship______

Telephone ______Email ______

Second Reference

First Name, Last Name ______Relationship______

Telephone ______Email ______

Applicant is required to sign of copy of this release during your scheduled interview

Photography Release

The undersigned volunteer hereby grants the Cameron Art Museum, (hereinafter referred to as Museum), permissionto take or have taken still or moving images whether print or digital, including television broadcast or voice transmission. Theundersigned also consents and authorizes Museum, its advertising agencies, news media, and any other person interested inMuseum and its work, to use and reproduce the images, video and sound recordings and to circulate and publicize the same by allmeans, including, without limiting the generality of the foregoing, newspapers, magazines, television, media, brochures, pamphlets,instructional materials, books and clinical materials. With respect to the foregoing matters, no inducements, or promises have beenmade to secure this signature to this release other than the intention of Museum to use or cause to be used such images, films, recordings, and video for the primary purpose of promoting Museum and its work.

Waiver and Release of Liability

In consideration of being allowed to volunteer my services at the Museum, I hereby acknowledge that there are certain risks of injuryinvolved, and I knowingly and freely assume all such risks and assume full responsibility for my participation. To the extent allowedby law, I agree to indemnify and hold harmless the Museum, its officers, employees, agents, representatives and volunteers, of allliabilities and all loss or damage to person or property which may occur or be incident to my involvement or participation.

Volunteer Confidentiality Agreement

I recognize that as a volunteer of the Museum, I may have access to confidential information concerning the Cameron Art Museum (CAM), the Museum, its guests, donors, members, alumni, vendors, employees, volunteers or other representatives. Inconsideration of any volunteer status with the museum, I agree I will not at any time, during or after volunteering for the museum,divulge or reveal to any person, firm, or corporation, any information (including, but not limited to, personal or financial informationor customer lists), directly or indirectly, which might in any way be used to injure or interfere with the business of the museum, or toalienate guests, customers, agents, employees, volunteers or representatives from the museum or to cause discontent ordissatisfaction among any such persons.

I agree that should I have any questions as to the propriety of release of any museum information, I will request clearance from the Cameron Art Museum prior to releasing such information.I certify that the information in this Volunteer Application is true, correct and complete to the best of my knowledge. I authorize theCameron Art Museum to verify any and all information I provided by contacting appropriate sources.

BY SIGNING, I UNDERSTAND THAT I AM INDICATING MY AGREEMENT WITH THE TERMS OF ALL PRECEDING SECTIONS.

______

Volunteer Printed Name Signature Date

______

Printed Name *Signature Date

If a minor, parents printed name and signature required and agrees to Release/Waiver/Agreement above.

Send completed application to:

Mail: Pam Palmer 910.395.5999 x 1012 email:

Cameron Art Museum

3201 S. 17th Street

Wilmington, NC 28412

CAMERON ART MUSEUM Volunteer Application & Release Form(9/1/2014) Page 1 of 3