Five Points Volunteer Application Form

Volunteer Application Form

First Name *

Last Name *

Email *

Phone *

Address 1 *

City *

State/Province *

Zip *

What are some of your skills, experience or interests that will help us make a good fit?

What kind of volunteer activities would you be interested in?

Availability:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Medical condition we should know about in case of emergency

Emergency contact

Contact Phone

Contact Address

Relationship

Please list two references with contact information (Name, Phone Number, Email Address, Relationship)

Reference 1

Reference 2

By signing below, I give Five Points Arts permission to check the references listed. I certify that the facts set forth in the application are true to the best of my knowledge. I understand the Five Points Arts reserves the right to screen volunteers and to accept or reject any application. I understand that I will not be paid for my services as a volunteer.

I agree *

Yes

Are you a minor under the age of 18?

Applicants under the age of 18 must have a parent or guardian sign this application.

Parent or guardian name

This applicant has my permission to volunteer at Five Points Arts Center

Yes