Lewisburg Children's Museum · Volunteer Onboarding

Contact Information

Name *

First Name

Last Name

Email *

Verify Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Date of Birth *

(mm/dd/yyyy)

Availability *

During which hours are you available to volunteer?

Mornings

Afternoons

Evenings

Weekdays

Weekends

If Other, Please Specify:

Skills:

Summarize any special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports

How many years have you been a continuous resident of Pennsylvania? *

Have you ever volunteered at Lewisburg Children's Museum before? *

Yes

No

Person to Notify in Case of Emergency: *

Please include your emergency contact's name, address, phone number, and email address.

Volunteer Handbook Acknowledgement

Please read the LCM Volunteer Handbook here.

I understand that the information contained in the The Children's Museum Volunteer Handbook represents guidelines only. The Museum reserves the right to modify the Handbook, amend, or terminate any policies or procedures at any time.

E-Signature: *

LCM Volunteer Waiver and Consent

Waivers and Informed Consent: By e-signing this form, I, as a volunteer, permit the Lewisburg Children's Museum (known hereafter as LCM) to use pictures of myself as a representative of the organization in promotional literature, videos, and the LCM website. I hereby assume all risks and hazards incidental to the conduct of the activities at the LCM and off site event locations (if applicable) and transportation to and from the activities (if applicable).

I, as a volunteer, do hereby agree to release, discharge, and hold harmless the LCM, its trustees, officers, agents, and employees of and from all causes, liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving myself arising out of my participation in this Program.

E-Signature: *

Agreement

By submitting this form, I affirm that the facts set forth in it are true and complete and that I have read the volunteer handbook. I understand that any false statements, omissions, or other misrepresentations made by me on this form may result in my immediate dismissal. Also, I will notify the LCM within 72 hours of any arrest of conviction of a crime that would invalidate my clearances.

E-Signature: *

Today's Date *

(mm/dd/yyyy)