Volunteer Application for Mill Creek Falls History Center

We appreciate your interest in volunteering at the Mill Creek Falls History Center.  Volunteers are a very important part of the History Center and will be called upon to help visitors understand our community's history and the impact of this historic site on the development of Cleveland.  Please fill out this form completely and submit it online, or print it out and return it to : Mill Creek Falls History Center / ℅ Slavic Village Development / 5620 Broadway / Cleveland, OH 44127.  Telephone: 216-429-1182 / Fax: 216-429-2632.

Volunteer Application

          Name

       Address

             City   State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY   Zip

Home Phone   Business Phone   Ext   Fax

          e-mail   Birth Date (if you are under 18)

In an emergency, contact   Phone

Relationship to Emergency Contact

Preferences in Volunteering:

Please indicate in the check boxes all times you are available to volunteer:

SUN MON TUE WED THU FRI SAT Morning Afternoon Evening

Are you willing to be called for a special last-minute project?

Yes   No

In order to help us provide adequate volunteer service to certain jobs, please indicate in the check boxes how long you plan to volunteer for the Mill Creek History Center.

length of school project

6 months or less

one year

indefinitely

Is there a particular type of volunteer work in which you are interested?  Please check all that apply.

	Working with visitors, assisting with general duties
	Providing assistance to a group
	Public speaking; volunteer recruitment
	Fundraising
	Sales manager: inventory and arrange merchandise for sale
	Develop temporary exhibits
	Gardening, maintaining grounds
	Volunteer Coordinator: scheduling volunteers
	Assist in organizing library and archives
	No preference

Special Skills and Interests; please check all that apply.

	Arts and crafts	Carpentry	Computer
	Gardening	Library skills	Photography
	Public speaking	Sewing	Teaching
	Woodworking	Working with children	Writing

Volunteer / Employment Experience; please list names of your most recent employers, volunteer positions, clubs, and organizations.

(1)	Position
Supervisor	Phone   Ext
(2)	Position
Supervisor	Phone   Ext
(3)	Position
Supervisor	Phone   Ext

Signature; please read carefully!

It is the policy of the Mill Creek Falls History Center to recruit, place, and train for all volunteer positions on the basis of its prospective volunteers' needs and the Center's needs.  No aspect of volunteer selection shall be influenced by national origin, religion, sex, or qualified physical or mental handicap.  All decisions regarding volunteer selection will be made solely on the basis of the individual's interest, skills, and the needs of the History Center.

If accepted to volunteer, I understand my responsibility to uphold the values of the Mill Creek Falls History Center.  I understand that certain training will be necessary before beginning to volunteer at the Center.

Signature of Applicant ___________________________________  Date ____________________

Teenage Volunteers

This will authorize ___________________________________, a minor, to participate in the volunteer program at the Mill Creek Falls History Center.

Signature of parent or guardian ___________________________________  Date ____________________

An acknowledgement form requiring your signature will be mailed to your address if you have completed an online volunteer application.

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