Volunteer Application

First and Last Name
Company
Address
City
State/Prov
Zip/Postal
Phone Number
Email Address
Emergency Contact:
Emergency Contact Phone:
Date of Birth:
Drop Down Calendar
Educational Background (degrees completed, universities attended):
Occupation/Employer:
Hobbies, Skills and Interests:
Previous Volunteer Experience:
Have you ever been convicted of a felony?

STATEMENT OF UNDERSTANDING

This is an application for a volunteer position with UM-St. Louis-St. Louis Public Radio for which there is no monetary compensation. In the selection of volunteers, there shall be no discrimination against an otherwise qualified individual on the basis of race, color, ethnicity, gender, gender identity, sexual orientation, religion, creed, national origin, socioeconomic status, age, disability, marital status, veteran status or any other basis prohibited by federal, state or local law.

I hereby authorize you to check my personal references; I further authorize these references to release to you information that they have about me.

I understand that all volunteer positions require a Criminal Background check.

I understand that any misrepresentation, omission or falsification of any fact from this application or during the interview will be cause for rejection of this application or dismissal from volunteer service.

I am willing to take training and abide by the policies, standards and procedures of UM- St. Louis-St. Louis Public Radio.
Signature of Volunteer (if submitting electronically, please type your name in the box below):
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