Museum of Northern Arizona - Volunteer Information Form
Please complete and mail to:
Dianna Van Sanford, MNA,
3101 N. Fort Valley Road, Flagstaff, AZ 86001
928/774-5211, ext 206

 

Name______________________________________________________    Today’s Date _________________________

 

Address _____________________________________________   City _______________   ZIP ______________

                                                                                                                                                                                                                                               

Home Phone __________________  Work Phone _________________  May we call you at work?       Yes ____  No ____

 

Email:________________________________  May we place your email on our volunteer email distribution list?_________

(Only the Volunteer/Docent Coordinator and Assistant have access to this information.  We blind copy our emails and

others on the list never see your email address.  We also don’t send attachments.)

 

Full-time residence at above address?   Yes ______     No ______    If no, please enter your alternate address:

 

Address _______________________________  City ________  State _______  ZIP _____________

 

                Phone ___________________       Dates of residence ________________________

 

Describe yourself and your interests:   __________________________________________________________________________

 

___________________________________________________________________________________________________________

 

Special skills and experience (i.e. foreign language etc.) ____________________________________________________________

 

___________________________________________________________________________________________________________

 

For what area would you like to volunteer?______________________________________________________________________

 

___________________________________________________________________________________________________________

 

What do you hope to gain from your volunteer experience? ________________________________________________________

 

___________________________________________________________________________________________________________

 

List the best times for you to volunteer  _________________________________________________________________________

 

List former or present employer and address or website address ____________________________________________________

 

___________________________________________________________________________________________________________

 

List two references not related to you and their telephone numbers__________________________________________________

 

___________________________________________________________________________________________________________

 

MNA Volunteers are encouraged to become members at the level of your choice in order to have a complete understanding and familiarity with the Museum and its activities.

 

In case of emergency, please notify:

 

Name _____________________________________________________________________________________________________

 

Address ______________________________________   City ______________________   State _______   ZIP _______________

 

Phone ________________________________________   Relationship ________________________________________________

 

Office use only  Date received:                         Placed:                                   References called:              E-mail distrib. list: