Docent Program Application Question Title * 1. Your information: Name Address City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 2. Would you be a...? Full-time Docent (2 tours/week on a weekday, Sept.-June) Part-time Weekday Docent (24 tours per calendar year, must be employed 20+ hours a week) Part-time Weekend/Evening Docent (24 tours per calendar year, must be employed 20+ hours a week) Not sure at this time Question Title * 3. Why would you like to be a docent at the Wadsworth Atheneum Museum of Art Question Title * 4. Describe the kind of work you have done in your life. Question Title * 5. Are you presently employed? Yes No Yes - please provide days and hours of your work schedule below: Question Title * 6. Describe any previous volunteer experiences. Question Title * 7. Describe any experience you have teaching and/or communicating with any of the following groups: Children and Teenagers Adults Families People with special needs (i.e. learning disabilities, hearing or visually impared) People from cultural backgrounds different from your own Question Title * 8. Are you fluent in languages other than English? No Yes - which one(s)? Question Title * 9. What do you hope to gain from being a docent? Question Title * 10. Personal and/or Professional Reference: Name Address Email Address Phone Number Question Title * 11. Personal and/or Professional Reference: Name Address Email Address Phone Number Question Title * 12. Address Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Done
