Volunteer Application Form - Eugene Symphony

Volunteer Candidate Information Form
VOLUNTEER CANDIDATE INFORMATION
Last Name First MI Date
Street Address Apartment/Unit #
City State Zip
Phone Number Email Address Cell Phone
Days & Times Available:
Position Appling for:
EDUCATION
High School Attended Did you graduate?
YES NO
College(s) Attended Did you graduate? Degree(s)
Can you read music? YES NO
Other relevant training or certification:
YES NO
Do you have a valid Oregon drivers License? YES NO
Do you have transportation? YES NO
MOST RECENT EMPLOYER
Company Phone Number Supervisor
Job Title May we contact your supervisor for a reference?
YES NO
Start Date: To

Volunteer Application Form
VOLUNTEER WORK EXPERIENCE
Company Phone Number Supervisor or person to contact
Job Title May we contact them for a reference?
YES NO
Start Date: To
VOLUNTEER WORK EXPERIENCE
Company Phone Number Supervisor or person to contact
Job Title May we contact them for a reference?
YES NO
Start Date: To
REFERENCES – Please list at least two
Full Name Phone Number Relationship
Full Name Phone Number Relationship
Please tell us why you want to volunteer & what you hope to gain from the Eugene Symphony
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
If this applications leads to my being accepted as a volunteer for the Eugene Symphony, I
understand that false or misleading information in my application or subsequent interviews may
result in my release.
Signature Date
Submit application to Jana Cox: By mail: 115 W. 8 th Avenue, Suite 115, Eugene OR 97401,
email: jana.e.cox@eugenesymphony.org, or by Fax 541-687-0527.
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