Link to William and Mary Welcome Research Education Advisory Services Administration Resources News and Media VIMS

Virginia Institute of Marine Science
Volunteer Application

Personal Information
Last Name
  		First Name Middle Initial
Street Address City
State
Zip   
Home Phone
Work Phone  		Email
Birth Date
     (enter year)
 
Emergency Information
     (2 contacts)
  Name:
Relationship:
Phone:
  Name:
Relationship:
Phone:
 
Education
      (last year completed)
High School
 1 2 3 4
College
 1 2 3 4
Graduate
 1 2 3 4
Last School Attended: Degree Earned:
William & Mary Alumnus?
 yes  no
If yes, year graduated
 
 
Employment
     (if applicable)
Current Employment
Company
Position
 
Supervisor /
Phone
Years
of 
Service
Previous Employment
Company
Position
 
Supervisor /
Phone
Years
of 
Service
Volunteer Experience
Position
 
Supervisor /
Phone
Years
of 
Service
 
 
References
     (2 non-family members)
Name  
Phone 
Name   Phone 
 
Experiences
     Please check any skills you feel you can perform proficiently:

Public Interpretation / Tours
Clerical
(typing, answering phones)
Computer Science
Public Speaking

 Data Entry
Photography
Physical Labor
(moving boxes, tanks)
Creative Design		 Research
Writing / Editing
Graphic Design
Electrical / Audio Visual		 Other skills:
       

Do you speak any other languages fluently?
no    yes

Do you know American Sign Language?
no     yes

Are you certified in CPR and/or First Aid?
no     yes

Please describe any training, skills, teaching experiences
and / or certificates that may enhance your ability to be a
successful volunteer at VIMS.

Have you volunteered here before?  If so, with what programs were you involved?

When and why did you leave the program?

Why would you like to volunteer for VIMS?

How did you learn about our Volunteer Programs?

If a friend referred you, please provide that person's name.
 
Availability
     Please check the boxes below that represent your regularly available hours:
 
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Morning
Afternoon
Evening
Do you anticipate a change in this schedule?  no   yes - if so, when?
How long can you commit to volunteering at VIMS? 
 
Submit the Form

I certify that the statements made in this volunteer application are true and correct.  If the information provided in this document is found to be untruthful, I understand that I may be released from the volunteer program.  I am aware that this information may be disclosed to any party with legal and proper interest, and I release VIMS from any liability whatsoever for supplying such information.

I understand that I will not be paid for my services, and that filling out an appllication for the program does not guarantee acceptance into a volunteer position.

***  If you have a current resume and would like to include it, we welcome the additional information.  Please mail your resume to:
Mimi Beckwith
Volunteer Coordinator
Virginia Institute of Marine Science
PO Box 1346
Gloucester Point, VA  23062-1346

or attach the resume in an email to this address (mimi@vims.edu)