Blumenthal Performing Arts BLUMENTHAL PERFORMING ARTS VOLUNTEER APPLICATION  


* Required Fields Personal Information:
Application Date *
First Name * Last Name *
Address * Phone *
City * Alt. Phone
State * Email *
Zip Code *
Birth Date(for Grant purposes) * (mm/dd/yyyy)
Are you currently employed?
If Yes, please complete the following:
Employer's Name
Position


Personal References (Other than a Relative)
Name *
Email *
Phone *

Education Level :   School   
List any art/art related courses or training which might relate to duties as usher or tour guide(e.g. public speaking, art history, foreign language, etc.):
List current or previous volunteer experiences:


Vounteer Opportunities:
Please check all interested opportunities.


Additional Information:
Please tell us why you are interested in Volunteering with Blumenthal Performing Arts:
How did you become interested in our program? (Choose as many as apply)
 
If Volunteer, please list name:
   
 

Optional Information:
Ethnicity (for Grant purposes):

AS A VOLUNTEER, I AGREE TO:

I certify that I am at least 18 years of age or older.  My services are donated without contemplation of compensations.  I agree to volunteer at least three (3) times per month as a regular volunteer usher.  If accepted into the Volunteer Program, I understand that I must purchase my usher vest at a cost of $30 upon completion of my Orientation.  I also understand that the physical requirements may include climbing stairs, assisting patrons in wheelchairs, the ability to work ALL areas of the theaters including the balcony and good vision in limited lighting.

 

I have read the above statment and agree.