Volunteer Questionnaire

Name:    Phone:    Cell:

Address:    City:    State:    Zip:

Email(s):    Birth Date (opt.):


Are you currently employed? Yes: No:   If yes, please describe below:


Are you currently in school? Yes: No:   If yes, what grade or level?

Please describe your current or past volunteer work in the area below:


What skills and interests would you like to put to use at ExplorationWorks?


What day(s) or times are you available?


Please indicate the type of volunteer work that interests you, (check all that apply):
Field Trip Assistant – assist staff with student field trips – weekdays only
Early Childhood Facilitator – lead a “10:30 am activity session” once a week
Birthday Party Facilitator/Assistant – weekends only
Halloween Fundraising Event Helper – help decorate, serve food, set-up/clean-up
Scrap Book Manager – organize ExWorks press and publications
Current Science Events Board Manager – maintain our current events board with science news
     from around town or around the universe
"Explainer"/Floor Staff – engage visitors in the exhibit areas, monitor exhibits, etc.
Computer Lab Assistant – assist in a robotics or Girl Tech class
Exhibits - help build, install and take down exhibits
Project and Program Committees – help plan future programming, exhibits, events…
Administrative Office Work
ExplorationWorks Garden – Summer/Fall only
Other (please describe)

Click "Submit" when your information is complete.