Ushers:
  • Take tickets
  • Seat patrons
  • Distribute programs
  • Provide assistance to patrons with special needs
  • For information, email the volunteer coordinator.

If you would like to become an usher, please fill out this form, and email it to the volunteer coordinator.

 

PERSONAL DATA:
Name

Address:

City:

Zip Code:

Phone (home):

Phone (work):

Email:

Birthdate (month/day)

Emergency Contact Name:

Emergency Contact Phone:

AVAILABILITY:
Date available to start:

Prefer:


Days Available:




Days/Times when I cannot volunteer:

SKILLS and INTERESTS:
Current/Former Employer:

Educational Background:

Volunteer Experience:

Hobbies/Interests/Skills:

REFERENCES (non-related):
1.
Name:

Address:

Phone:

2.
Name:

Address:

Phone:

3.
Name:

Address:

Phone:

VOLUNTEER POSITIONS: (Choose from these positions)








As a volunteer, you are not eligible to report a claim against the Clay Center's Worker's Compensation policy if you should be injured while performing your volunteer duties.
I hereby certify that the answers given by me to the forgoing questions and the statements made by me are true to the best of my knowledge. I understand that by signing this document I give permission for the references I have listed to be contacted by a representative of the Clay Center. I also understand that my application may be dismissed, or my volunteer activities can be terminated if it becomes clear that I have made false statements or misrepresentations on this application.
Initials:
Please type you initials to indicate you have read and agree to the notes above.