Diversity Through Artistry Volunteer Application form

Personal Information:

Name:
Phone:
Birth Date (Optional):
Street Address:
City:
State:
Zip:
Email:

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Gender:

School:

Major:

Background Information:

What would you like to learn from this experience?
List any special hobbies, talents, or skills:
What languages do you speak fluently?
Do you have any experience with children?
Why do you want to volunteer?
What is your favorite form of art?

Have you ever been convicted of a crime? You may omit any traffic offenses, dismissed charges, expunged charges, convictions more than two years old, and misdemeanors.

If you answered "Yes" to the previous question, please explain.

Advisory: I certify that all information that has been provided is true and complete. I understand that if any false information or omissions are discovered that my application will be rejected and volunteer status will be terminated at any time. I agree with this advisory and the clauses it contains.

Type your name in the space provided.