OMB Control No.: 3095-0060
Expiration date:
VOLUNTEER
SERVICE APPLICATION FORM
National
Archives and Records Administration
INSTRUCTION SHEET
Thank you for your interest in becoming a volunteer at the Ronald
Reagan Presidential Library and Museum.
Our volunteers play a vital role in the activities at the Reagan Library. They supplement the staff in important ways
with special talents and knowledge that might not be otherwise available.
The next step in applying to become a volunteer is to
complete the attached form. Your answers
to the questions will enable us to see where you might best help our program
and what activities would be most fulfilling to you. Many of the questions are
self-explanatory. Others might need a
little explanation.
PERSONAL INFORMATION:
Please provide a phone number at which we may reach you Monday through
Friday, between
WORK EXPERIENCE: When
listing your work experience, show only the last 10 years of employment. If you are retired, describe the last 10
years you worked before you retired.
LANGUAGES: An ability
to speak and understand a foreign language most likely will be used to greet
and possibly guide foreign visitors. You
would not be expected to explain highly technical aspects of the Reagan Library
program.
SPECIAL SKILLS: The
information you provide will help us to identify which activities at the Reagan
Library will most interest you and where you can make the greatest contribution
to our program. Please mark those
activities on the list with which you have experience and indicate your level
of expertise. Please add any other
activities in which you have experience that you think will fit into the Reagan
Library’s program.
AVAILABILITY: Which
days of the week and which hours on those days will you usually be available to volunteer your services? On occasions, volunteers will be needed in
the evening.
REFERENCES: It is
important that you provide the names of two individuals who can be contacted to
discuss your qualifications for a volunteer position. They will be informed of the reason for the
contact. Please note that a background
check will be necessary, depending on the type of volunteer service you will
provide and the kind of access to our facility.
For further information about this step in the application process,
please contact Carol Cohea at 805-577-4065.
Please read the Paperwork Reduction Act Burden Statement and
the Privacy Act Statement that follow. The
Privacy Act Statement explains the circumstances under which this information
may be shared with someone other than
|
PAPERWORK REDUCTION ACT PUBLIC
BURDEN STATEMENT You
are not required to provide the information requested on a form that is
subject to the Paperwork Reduction Act unless the form displays a valid OMB
control number. Public burden
reporting for this collection of information is estimated to be 25 minutes
per response. Send comments regarding
the burden estimate or any other aspect of the collection of information,
including suggestions for reducing this burden, to National Archives and
Records Administration (NHP), PRIVACY ACT STATEMENT In
compliance with the Privacy Act of 1974, the following information is
provided: Solicitation of the information is authorized by 44 U.S.C.
2104. Disclosure of the information is
voluntary. The information provided
will be used to determine whether you will be accepted as a volunteer. Additionally, the information may be
provided to an expert, consultant, or contractor of |
VOLUNTEER
SERVICE APPLICATION FORM
RONALD REAGAN PRESIDENTIAL
LIBRARY AND MUSUEM
National
Archives and Records Administration
|
PERSONAL INFORMATION |
||||||||
|
Name: Mr.
Mrs. Ms |
Date of
Birth |
|||||||
|
Street
Address City
State ZIP |
||||||||
|
Daytime
Telephone Number |
E-mail
Address |
|||||||
|
EDUCATION |
||||||||
|
Level |
Name and Location of Institution |
Years Attended |
Diploma / GED |
|||||
|
High School |
|
-- |
Please circle: |
|||||
|
Yes |
No |
|||||||
|
|
||||||||
|
College: |
Name of Institution |
Years Attended |
Major Field of Study |
Degree |
||||
|
Undergraduate |
|
-- |
|
|
||||
|
Undergraduate |
|
-- |
|
|
||||
|
Graduate |
|
-- |
|
|
||||
|
WORK EXPERIENCE (Summarize
your last 10 years of employment) |
||||||||
|
Position |
From -- To |
Employer |
||||||
|
|
|
|
||||||
|
|
|
|
||||||
|
|
|
|
||||||
|
|
|
|
||||||
|
PREVIOUS VOLUNTEER EXPERIENCE |
||||||||
|
Duties |
From -- To |
Organization |
||||||
|
|
|
|
||||||
|
|
|
|
||||||
|
|
|
|
||||||
|
|
|
|
||||||
LANGUAGES |
|
||||||||||||||||||||||||
|
Foreign Language(s) [Please
list] |
Speak
and Understand |
Can
Read and Translate into and from |
|
||||||||||||||||||||||
|
Fluently |
Passably |
Easily
|
Passably |
|
|||||||||||||||||||||
|
|
|
|
|
|
|
||||||||||||||||||||
|
|
|
|
|
|
|
||||||||||||||||||||
|
|
|
|
|
|
|
||||||||||||||||||||
|
Special Languages: |
|
||||||||||||||||||||||||
|
American Sign Language |
No Ability |
|
Some Ability |
|
Highly Skilled |
|
|
||||||||||||||||||
|
Braille |
No Ability |
|
Some Ability |
|
Highly Skilled |
|
|
||||||||||||||||||
|
SPECIAL
SKILLS (Check all that apply. H =
Highly Skilled S = Some Experience)
|
|
||||||||||||||||||||||||
|
General |
|
Computer |
|
||||||||||||||||||||||
|
Skill Level: |
H |
S |
Skill Level: |
H |
S |
|
|||||||||||||||||||
|
Research: General Genealogical |
|
|
Databases |
|
|
|
|||||||||||||||||||
|
|
|
Microsoft Word |
|
|
|
||||||||||||||||||||
|
| |||||||||||||||||||||||||