Volunteer Application ~ Tug Baltimore

Volunteers must be 18 or older and completed High School education.

Personal Information

First Name / M.I. / Last Name
Local Address / City / State, Zip
Permanent Home Address (if different) / City / State, Zip
Home Phone / Cell Phone / Email
Emergency Contact Name / Emergency Contact Phone
Date of Birth / Social Security #

Employment Information

Present Employer ( If Retired, Last Employer) / Title
Employer Address
Work Phone / Work Fax / Work Email
Supervisor Name / Supervisor Phone / May we contact supervisor?
Previous Employer / Title
Previous Employer Address
Phone / Supervisor Name

Educational Information

School / Course of Study / Degree Received / Date of Graduation
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Volunteer Information

List any previous and/or current volunteer experience.
Organization/Duties / Dates of Service / Supervisor / Phone Number
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Volunteers must be able to stand for extended periods, climb ladders and lift 30 pounds. Do you have any physical limitations or medical conditions that we should be aware of? If so, please indicate:
List skills that you would bring to the museum relevant to working on a vessel. (i.e. carpentry, skilled craftsman, mechanical, restoration work, etc. ):
Please indicate your experience working with vessels: (Continue on additional sheet if needed)
Tug volunteers generally meet on Saturdays, weather permitting. Can you meet this schedule? _____ YES _____ NO
If no what would be your preference?
AVAILABILITY PREFERENCE: ___ Mon ___Tues ___Wed. ___Thurs. ______hours Other ______
Start Date Preference: ______If an end date is required, please indicate here: ______
What do you intend your schedule to look like: (days/hours/frequency, etc.)
What goal do you expect to achieve through your volunteer time?
How did you become aware of volunteer opportunities at the BMI?

Please provide a current resume, three references, and any additional information on a separate sheet.

REFERENCES: Name and RelationshipContact Information

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CRIMINAL BACKGROUND CHECK

The Baltimore Museum of Industry reserves the option to conduct criminal background checks for prospectivevolunteers. By signing this application, you authorize the Baltimore Museum of Industry to conduct an investigation entirely at the Museum’s expense.

VOLUNTEER INTERVIEWS AND TRAINING~ Volunteers must be 18 or older, and completed High School education.

All prospective volunteers must be interviewed prior to being accepted at the Baltimore Museum of Industry. Those selected are required to attend and complete the Baltimore Museum of Industry volunteer program orientation and training before they begin to participate in the program. Their assigned supervisor will then train all volunteers before they begin their duties. Some positions require ongoing training that occurs as the volunteer becomes more involved in his/her assigned duties.

VOLUNTEERS: PLEASE READ, SIGN, AND DATE THE FOLLOWING:

I certify, to the best of my knowledge, that all information given by me in this application and in any other forms I complete during the application process is true and correct. I understand that false or misleading statements made by me or consequential omissions of any kind in the application process are sufficient cause for my not being accepted as a volunteer or for my being dismissed if I am already a volunteer, no matter when discovered.

I authorize the Baltimore Museum of Industry to investigate all of the information contained in this application. Any persons or organizations named are authorized to provide information regarding applicant employment, volunteer history, character, and qualifications and they are hereby released from all liability for providing such information.

I understand that there will be an interview prior to my being accepted as a volunteer and I will be expected to complete the required training for museum volunteers.

Signature______Date ______

Please return application and resume to the BMI, 1415 Key Highway, Baltimore, MD 21230 or emailto