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KidsPlay Children's Museum Volunteer Application
1.
Contact Information
Name
Address
Address 2
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
Email Address
Phone Number
2.
Are you currently a student?
Yes
No
If yes, list school:
3.
Are you over 18 years of age?
Yes
No
List highest grade completed:
4.
Emergency Contact
Name
Relationship
Phone Number
5.
Please list the times you are available
Morning 10:00 am - 1:00 pm
Afternoon 1:00 - 4:00 pm
Evening 4:00 - 8:00 pm
Sunday
Morning 10:00 am - 1:00 pm
Afternoon 1:00 - 4:00 pm
Evening 4:00 - 8:00 pm
Monday
Morning 10:00 am - 1:00 pm
Afternoon 1:00 - 4:00 pm
Evening 4:00 - 8:00 pm
Tuesday
Morning 10:00 am - 1:00 pm
Afternoon 1:00 - 4:00 pm
Evening 4:00 - 8:00 pm
Wednesday
Morning 10:00 am - 1:00 pm
Afternoon 1:00 - 4:00 pm
Evening 4:00 - 8:00 pm
Thursday
Morning 10:00 am - 1:00 pm
Afternoon 1:00 - 4:00 pm
Evening 4:00 - 8:00 pm
Friday
Morning 10:00 am - 1:00 pm
Afternoon 1:00 - 4:00 pm
Evening 4:00 - 8:00 pm
Saturday
Morning 10:00 am - 1:00 pm
Afternoon 1:00 - 4:00 pm
Evening 4:00 - 8:00 pm