Paper Discovery Center Volunteer Application

 

Thank you for your interest in volunteering at the Paper Discovery Center. In order for us to process your application, we ask that you to fill out the form and return it to: Paper Discovery Center, Attn: Volunteer Coordinator, 425 West Water Street, Appleton, WI 54911.

 Name: _______________________________________________________________
Tel.: ________________________
Address: _____________________________________________________________________________
City/State/Zip: ________________________________________________________________________
E-Mail Address: _______________________________________________________________________

Note: You must be at least 16 years old to volunteer at the Paper Discovery Center
Please rank the areas (from 1-7, with 1 being your first choice) which you are interested in volunteering:

 ____Education - assist with school programs including "hands-on" experiences in the Paper Lab

 ____Development & Membership - help with fundraising events and appeals, recruitment of Paper Discovery Center Friends, updating of contact database, exhibit preview events for donors and sponsors, and general office activities

 ____Exhibits - assist with maintenance and construction

 ____Library & Collections - process research requests, loans, & donations; clean & repair artifacts; and update database

 ____Marketing & Public Relations - write articles on the Paper Discovery Center and upcoming programs, activities, and events for Paper Discovery Center and Hall of Fame newsletters; write press releases; write Hall of Fame inductee biographies and video scripts; update the website

 ____Special Events - help plan and/or run special events, including the annual Paper Industry International Hall of Fame induction ceremony

 ____Speakers/Tour Guide - speak with groups and/or serve as the subject of video testimonials for inclusion in exhibits, the Lake States TAPPI Career Lab, and the Jack & Ethel Keller library; and lead tours of the facility

 Work Experience:

 Volunteer Experience:

 Preferred Days & Times you'd like to volunteer:

I hereby apply to be a volunteer at the Paper Discovery Center (PDC). I understand that I will be expected to abide by all PDC rules, regulations, security and safety policies and will be required to agree to a criminal background check as condition of being accepted as a volunteer. (see below)

Signature: _________________________________________________________________
Date: ___________________

 

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Paper Discovery Center Background Information for Staff and Volunteers

The Paper Discovery Center takes seriously its obligation to provide a safe environment for all persons involved with youth and youth activities. The Paper Discovery Center will conduct a records check of all staff and volunteers with the Wisconsin Department of Justice to help assure a safe environment for the well being of visitors and youth program participants. Information obtained will not automatically disqualify you from employment or consideration as a volunteer.

 Full Name: _______________________________________________
*Social Security Number: ____________________
Address: _______________________________________________________________________
Phone Number: ____________________________
Driver's License Number: __________________________________
Date of Birth: _____________________Gender: _________________Race: ________________

*Providing your social security number is voluntary; however, your social security number is one of the unique identifiers used to prevent incorrect matches. Further, your social security number will be used for any and all necessary and usual identification and reference purposes associated with your continuation as an employee or volunteer of the Paper Discovery Center.

1. I acknowledge and understand that through this completed form, my record will be checked.
2. Have you been a full-time resident in Wisconsin during the past 3 years? ___Yes ___No
3. If "no" to above, list non-Wisconsin address(es), including county and state of residence, during the past three years.
4. If you have not lived in Wisconsin during the past 3 years, list 3 people (not relatives) who can comment on your work with youth: 

Name: __________________________ Relationship to You: ________________

Phone Number: _______________

Address: _________________________________________________________

 

5. Has your driver's license ever been suspended or revoked? ___Yes ___No
6. Have you been convicted of crime involving a minor
   (included a deferred imposition of sentence)?___Yes ___No
7. Have you used or been known by any other names?
   If yes, what names have you used? 

8. I acknowledge and agree that I or the Paper Discovery Center may terminate employment or the volunteer agreement at any time. I certify to the best of my knowledge that these responses are true and complete. I hereby authorize the Paper Discovery Center to conduct a police and court investigation of my background.

 

Signature: __________________________________________ Date: ______________________________________