Volunteer Application
First and Last Name
Address
City State/Prov Zip/Postal
Phone Number
Email Address
Emergency Contact:
Emergency Contact Phone:
Date of Birth:
[Default]
Gender:
Educational Background (degrees completed, universities attended):
Occupation/Employer:
Hobbies, Skills and Interests:
Previous Volunteer Experience:
Have you ever been convicted of a felony?
Skills
Select all that apply:


How did you hear about this opportunity?
Please indicate how you learned about the volunteer program with St. Louis Public Radio:

Availability
I would prefer to volunteer:
Please select the times below you would be available to work:


Please note any special requests regarding availability:
Preferences in Volunteering
I am interested in volunteering in the following capacity:


References
Please list two persons who are familiar with your qualifications for volunteer service. Please include a phone number where we may reach them.
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, 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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