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Volunteer Application

First and Last Name

Company

Address

City

State/Prov

Zip/Postal

Phone Number

Email Address

Emergency Contact:

Emergency Contact Phone:

Date of Birth:

Educational Background (degrees completed, universities attended):

Occupation/Employer:

Hobbies, Skills and Interests:

Have you ever been convicted of a felony?

Yes No

Skills

Select all that apply:

Database Customer Service Events Administrative Tasks
Microsoft Office Suite Other

How did you hear about this opportunity?

Please indicate how you learned about the volunteer program with St. Louis Public Radio:

On-Air Community Event Twitter STLPR Website
Facebook Other Media Referred by a friend UMSL Website

Availability

I would prefer to volunteer:

On an ongoing basis As Needed

Please select the times below you would be available to work:

Weekdays between 8 a.m. and 5 p.m.
Evenings
Weekends

Please note any special requests regarding availability:

Preferences in Volunteering

I am interested in volunteering in the following capacity:

Office Assistant: Assist with mailings, computer entry, phone calls, etc.
Ambassador: Represent us at station and community events

STATEMENT OF UNDERSTANDING

This is an application for a volunteer position with UM-St. Louis-St. Louis Public Radio for which there is no monetary compensation. In the selection of volunteers, there shall be no discrimination against an otherwise qualified individual on the basis of race, color, ethnicity, gender, gender identity, sexual orientation, religion, creed, national origin, socioeconomic status, age, disability, marital status, veteran status or any other basis prohibited by federal, state or local law.

I hereby authorize you to check my personal references; I further authorize these references to release to you information that they have about me.

I understand that all volunteer positions require a Criminal Background check.

I understand that any misrepresentation, omission or falsification of any fact from this application or during the interview will be cause for rejection of this application or dismissal from volunteer service.

I am willing to take training and abide by the policies, standards and procedures of UM- St. Louis-St. Louis Public Radio.

Signature of Volunteer (if submitting electronically, please type your name in the box below):

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