First Name: * Last Name: *
Street Address:
City: State: Zip code:
Phone: * Alternate Phone:
email address: *
* Required
Do you speak and/or write any other languages? If so, please list the language(s) and your level of fluency.
Are you a member of the Long Beach Museum of Art?
YesNo
Please select the times you are available to volunteer
I am interested in volunteering with (please check all that apply):
Please include other areas of the Museum you may like to volunteer in. If you are applying for an internship, please state if you are an undergraduate or graduate student, the name of your school, anticipated graduation date, and field of study:
I have experience with (please check all that apply and describe below):
Describe your experience:
Have you ever been convicted of a felony?
If yes, please explain:
