Volunteer Application Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Emergency Contact* First Last Emergency Contact Phone*AVAILABILITYFor each day you are available, please enter an hour range.[ For example, 9am - 2pm ]Monday Tuesday Wednesday Thursday Friday Saturday Sunday Preferences* Mornings Afternoons Evenings Weekends Additional Availability InformationWORK COMFORTABILITYOn a scale of 1 to 5, with 1 being least comfortable and 5 being most comfortable, rate your comfort with each of the following types of workCash Handling* 1 2 3 4 5 Concession Prep/Serving* 1 2 3 4 5 Lifting & Loading* 1 2 3 4 5 Stage/Theater Setup* 1 2 3 4 5 Cleanup* 1 2 3 4 5 Box Office/Ticket-taking* 1 2 3 4 5 Ushering* 1 2 3 4 5 Security* 1 2 3 4 5 Merchandise Handling* 1 2 3 4 5 As a volunteer at the Historic State Theater Complex, I agree to and understand the following conditions: Imay be subject to a records check by the State prior to my volunteer work. I will attend all training, orientation, and/or preparation sessions as needed. I will abide by all Historic State Theater Complex rules and regulations or be subject to dismissal from future volunteer opportunities I will do my best to honor all commitments to work as scheduled and if I must be absent from a scheduled engagement, I will notify the Historic State Theater office as soon as possible.Signature Reset signature Signature locked. Reset to sign again
