springville museum of art · Springville Museum of Art Volunteer Application

Contact Information

Name

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First Name

Last Name

Email

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Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

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Date of Birth

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(mm/dd/yyyy)

Best time to contact you

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How did you learn about volunteering at the Springville Museum of Art?

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Current volunteer

Friend

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SMA staff

SMA website

Other

If you selected "Other," let us know where you heard about us:

References

Please list three references. We ask that you not list family members as references.

Reference 1 Name

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First Name

Last Name

Reference 1 Phone

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Reference 1 email

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Reference 1 relationship to volunteer

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Reference 2 Name

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First Name

Last Name

Reference 2 Phone

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Reference 2 Email

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Reference 2 relationship to volunteer

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Reference 3 Name

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First Name

Last Name

Reference 3 Phone

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Reference 3 Email

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Reference 3 Relationship to Volunteer

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Experience

Please list relevant education, work experience, special interests, computer skills, talents and areas of expertise.

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Do you speak any languages other than English? Please list

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Why are you interested in volunteering at the Springville Museum of Art?

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How many hours per week do you plan to volunteer?

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How long are you committing to volunteer?

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Less than 6 months

6 months

1 year

Indefinitely

Please note approximate day(s) and time(s) you are available to volunteer.

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Emergency Contact

Please list one contact that we can keep on file in case of emergency.

Name

*

First Name

Last Name

Phone

*

Email

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Relationship to volunteer

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