The Clay Center - event ushers

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 the online form below.

(Bold entries indicate required fields)


Volunteer Positions (all that apply):	Usher with WVSO Usher with Clay Center Art Museum Docent Cranium Cadet, ages 13-18 Youth Group Leader (WVSO) Administrative Offices Clerical Special Events No Preference
Name:
Address:
City:
Phone (Home):
Phone (Work):
Email:
Birthdate (Month/Day):
Emergency Contact Name:
Emergency Contact Phone:
AVAILABILITY
Date Available to Start:
Prefer:	A.M. P.M. Either/Flexible
Days Available:	Monday Tuesday Wednesday Thursday Friday
Days/Times when I cannot volunteer:
SKILLS and INTERESTS
Current/Former Employer:
Educational Background:
Volunteer Experience:
Hobbies/Interests/Skills:
REFERENCES
Reference 1 Name:
Reference 1 Address:
Reference 1 Phone:
Reference 2 Name:
Reference 2 Address:
Reference 2 Phone:
Reference 3 Name:
Reference 3 Address:
Reference 3 Phone:

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.

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