Volunteer Program | SCERA Center for the Arts

YOUR NAME

YOUR ADDRESS

CITY

ZIP CODE

HOME PHONE NUMBER

CELL PHONE NUMBER

EMAIL ADDRESS

SCHOOL YOU ATTEND (ages 12-18 only)

PARENT/GUARDIAN NAME (ages 12-18 only)

PARENT/GUARDIAN EMAIL ADDRESS (ages 12-18 only)

PARENT/GUARDIAN PHONE NUMBER (ages 12-18 only)

BIRTHDAY (month/day/year)

WHEN CAN YOU START?

AVAILABLE TO VOLUNTEER (check all that apply)

Morning

Afternoon

Evening

SPECIFIC DAY & HOURS

HAVE YOU EVER BEEN CONVICTED OF A FELONY?

Yes

IF YES, PLEASE EXPLAIN

DO YOU HAVE A FOOD HANDLER'S PERMIT?

Yes

This is required for concession workers. If you do not have a food handler's permit, we will give you information on how to get one. The cost is $25 and it is good for three years.

PLEASE LIST ANY JOB OR COMMUNITY SERVICE EXPERIENCE, SKILLS, QUALIFICATIONS OR SCHOOLING YOU FEEL WOULD HELPFUL IN SERVING AS A SCERA VOLUNTEER/INTERN:

HOW WERE YOU REFERRED TO SCERA? / WHY DO YOU WANT TO WORK AT SCERA?

REFERENCES: (not relatives) - Please list at least two names and phone numbers:

VOLUNTEER / INTERN OPPORTUNITIES (check areas you are most interested in)

SCERA Center for the Arts (Year-round) - Ushers, Concession workers, Box office

SCERA Arts Education Programs (Year-round) - Assistants & Support staff for drama, music, art, dance

Technical & Production (Year-round) - Sound, Lights, Costumes, Props, Stage Management, Set Construction/Painting

SCERA Shell Outdoor Theatre (Summer) - Ushers, Concessions workers, Box office - MUST BE 14 YEARS OR OLDER

AS A VOLUNTEER/INTERN, YOU ARE NOT COVERED BY WORKER'S COMPENSATION INSURANCE. DO YOU OR YOUR FAMILY HAVE HEALTH INSURANCE?

Yes

YOUR PERSONAL OR FAMILY MEDICAL INSURANCE COMPANY:

INSURANCE POLICY #

PLEASE READ THE FOLLOWING STATEMENTS AND CHECK THE BOXES BY EACH BEFORE YOU SUBMIT YOUR APPLICATION:*

SCERA has purchased an insurance policy to cover all our volunteers/interns at the SCERA Center for the Arts and the SCERA Shell Outdoor Theatre. This coverage is provided to the volunteer/intern and covers any accidents which might occur while volunteer/intern is participating in any SCERA program.

You, as a volunteer/intern, should not perform any act which you consider unsafe.

As a volunteer/intern of SCERA, I acknowledge by my signature that I am not covered under Worker's Compensation Insurance. Consequently, if I sustain an injury while acting within the scope of my duties as a volunteer/intern, I can only look to the volunteer insurance policy to cover any damages I might incur. Furthermore, I agree to hold SCERA harmless from any damages that I might incur as a result of injuries I sustain while acting as a volunteer/intern.

A volunteer/intern is defined as a person who gives services without any express or implied promise of compensation. The services I provide to SCERA are provided of my own free will and I expect no renumeration or payment from SCERA.

SCERA reserves the right to conduct a background check on prospective volunteers/interns age 18 and older. Volunteer/intern opportunities may be contingent upon satisfactory background checks.

I attest that the information I have provided is true and accurate and that I agree with the above-stated conditions.

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JOIN THE SCERA VOLUNTEER FAMILY AND RECEIVE FREE TICKET PERKS!

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