The Regnier Family Wonderscope Children's Museum

Volunteer Application

Name*
*
Cell Phone
Email
Days available (pick all that apply) *
Times available (pick all that apply)*
Time period I would like to volunteer*
Area of Interest *
Personal Reference *
Relationship
Number of years known
Emergency Contact

DISCLAIMER AND SIGNATURE

o I certify that my answers are true and compete to the best of my knowledge. 

o I understand that false information or omission may disqualify me from further consideration for volunteer service and may result in my dismissal if discovered at a later date. 

o I authorize and realize personal references to answer questions in regards to volunteer work, ability, and character. 

o I understand, in consideration of my application, a background investigation will be conducted. This investigation may include, but is not limited to, a criminal background check in the files of any Federal, state, or local justice agency, sex offender registry, driving history, and reference verification. 

o I authorize The Reginer Family Wonderscope Children’s Museum of Kansas City to conduct the background investigation. I understand the requested information is for the sole purpose of gathering accurate information for volunteer services and the information will be kept confidential. 

o I authorize The Reginer Family Wonderscope Children’s Museum of Kansas City to use my name and photographs or videos of me for the purpose of promoting the organization. 

o I will not hold The Regnier Family Wonderscope Children’s Museum of Kansas City responsible for any unforeseen injuries that may occur while volunteering.

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