Rialto Square Theatre Online Volunteer Application Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Are you at least 16 years of age?* Please answer yes or noBirth Date (year optional) Please enter your birth dateAre you currently attending school?* Yes No Year in School What year are you attendingName of School Are you currently employed?* Yes No Name of Employer What is Your Occupation? In Case of Illness/Emergency Please Contact* Enter First and Last NameWhat is the Relationship of Your Emergency Contact?* Spouse Child Friend Other Emergency Contacts Phone Number*Do You Have Any Volunteer Experience?* Yes No If Yes, Please list OrganizationsList any volunteer organizations you have had experience withWhat Did You Do as a Volunteer for This/These Organization(s)?Do You Have Any Physical Limitations That Would Prevent You From Standing Unassisted for an Extended Length of Time or Climbing Stairs?* Yes No Do You Have Any of the Following Skills?* Computer/Data Entry Clerical Cashier Sales Experience Bi-Lingual None Other Please Check all that applyList Languages Please provide the languages you speakOther Special Skills (Please explain)How Did You Hear About Volunteering at the Rialto Square Theatre?*Why Do You Want to Become a Rialto Square Theatre Volunteer?*What Are Your Expectations from this Organization?*Do You Know a Current or Past Rialto Square Volunteer?* Yes No If Yes, What is His/Her Name? Were You Referred by a Current Rialto Square Theatre Volunteer?* Yes No If Yes, What is His/Her Name? Tell Us a Little About Yourself*(i.e. Strengths, Weaknesses, Hobbies, Interests, Etc.)Do You Agree to Comply With All Policies, By-laws, Instructions, Etc. as Set Up Within This Organization?* Yes Rialto Square Theatre SafetyThe Authority Board, the Foundation Board, the Rialto Square Theatre Volunteer Board of Directors, The Volunteer Recruitment & Retention Team and the Rialto Staff appreciate your willingness to become a part of the Volunteer Organization. However, safety is our number one priority. Therefore, if at any time any of the above listed entities become aware that your safety, the safety of the patrons, the safety of the Theatre and/or the safety of fellow Volunteers would be compromised, your Volunteer membership may be revoked.References(Please Do Not List Relatives as References)Reference #1Name* First Last Occupation* Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Reference #2Name* First Last Occupation* Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Name* First Last Occupation* Address* Street Address City State / Province / Region ZIP / Postal Code Phone*AuthorizationI hereby authorize persons, schools, my current employer, previous employers, and organizations named in this reference to provide Rialto Square Theatre with any relevant information regarding my becoming a volunteer. I release all such persons from liability regarding the provision of use of such information.* Yes, I agree By checking the box below you athorize Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please enter today's date.CAPTCHA Volunteer Questions? Please Contact Leann Hoffrogge at 815-726-7171 – ext. 209
