The PeninsulaFineArtsCenter
101 Museum Drive
Newport News,VA23606
(757) 596-8175 fax (757) 596-0807
Volunteer and Intern Application
I would like to be a (check one):
___ Youth Volunteer (ages 17 and younger. Birthdate: MM/DD/YYYY ______)
___ Adult Volunteer (ages 18 and older. Please complete VA State Background Check form).
___ Limited Adult Volunteer for adult events only.
___ Intern (please complete VA State Background Check form)
General Information (Please Print):
Name______Title ( Mr. Mrs. Ms. Other _____ )
Last First MI
Address______City______Zip Code______
Home phone ______Cell______E-mail ______
(if a student) School name, expected graduation date: ______
(if working) Employer: ______Position: ______
Work number______My employer offers a Donation Matching Program __yes __no
Best way or time to reach you: ______
Emergency contact______Phone______
Degrees or Certifications: ______
References (for applicants 18 and older):
Please list two people other than relatives who would be willing to serve as professional references:
Name______Phone ______
Name ______Phone ______
Availability:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
__ morning __ morning __ morning __ morning __ morning __ morning
__ afternoon __ afternoon __afternoon __ afternoon __ afternoon __ afternoon __ afternoon
__ evening __ evening
Interests:
Volunteering offers many ways for you to connect with us and share your particular gifts.
Training is provided as needed for all activities. Please check the group(s) that you would like join:
______Hands-On Learning: Provide hands-on support to children and families during our art
classes, in the HOFK area, during special community arts events here or away from the center, and at Pfac birthday parties. Help prepare for and support special education projects.
______Exhibition Stewards: Set up and take down exhibitions, provide tours through ourdocent
program, and help provide security for rented exhibits.
______Pfac SupportTeam: Provide general office assistance (mailings, phoning, organizational
and computer support). Provide lunchtime relief at the front desk, and assist in the Gift Shop.
______Pfac Ambassadors: Support the Pfac staff and Board by planning events or
Development opportunities designed to connect Pfac to specific peer, business, or interest groups. Help represent Pfac at special events such as Festival Days and Arts Cafés. Provide information about Pfac, and promote Pfac membership at events.
______ Beaux Arts Committee: Help plan our special receptions, and help prepare
flowers, decorations and food for other Pfac events.
______Gardens and Grounds: Hands-on support of the building and grounds through
maintenance and repair projects, general upkeep, and beautification of Pfac.
From the group(s) you selected, what jobs are you most interested in? ______
______
Please list any physical limitations you may have (lifting, walking, standing, etc) ______
______
What do you hope to get from your Pfac volunteer experience? ______
______
______
Previous volunteer experience: ______
______
______
______
Tell us about your hobbies or other interests: ______
______
______
______
We are delighted you have chosen to volunteer here at Pfac! We are very grateful for your contribution of time and effort, and look forward to making your hours here as rewarding as possible. We ask that our volunteers maintain a Pfac membership* at the Individual or Family level.
*If you are not already a member, a one-year membership may be earned in stages by accumulating volunteer hours (80 total for Individual; 120 total hours for Family Memberships). Once membership has been earned, you may continue volunteering for 80 or 120 hours to earn membership renewal. Free admission to the museum is provided upon acceptance of the application in anticipation of your contribution of time.
Volunteer Code of Conduct
As a Pfac volunteer, I promise to make a commitment and to participate in programs as requested.
I also promise to abide by the following:
- SMILE,I represent Pfac at all times and will act accordingly.
- Arrive promptly for my shift.
- Dress appropriately.
- Ask the person in charge if I have questions.
- Sign in and out at the front desk to track volunteer hours, and wear a Pfac Volunteer tag while on the premises.
- Not leave my area without letting the person in charge know.
- I understand that if I miss twoscheduled shifts I will no longer be able to volunteer at Pfac.
For Adult (Not Limited Adult) volunteers 18 years and older: A Child Services background check is required and is available on-line or at the front desk. The background form must be notarized before you return your application. Free notarization can be done at the Pfac Front Desk or at most banks that offer this as a free service. Pfac will pay the $5 Virginia state fee for the background check.
I certify that the above information is complete and true to the best of my knowledge. I authorize Pfac to contact the above references concerning my work experience. Any discovery of misrepresentation or omission is grounds for immediate dismissal from the Pfac Volunteer corps.
Volunteer Signature: ______Date: ______
Parent/Guardian Signature: ______Date: ______
(For Youth volunteers 17 years and under)
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