Todays Date: Full Name: Address: City: ZIP: Phone #: Cell Phone #: Email Address: School You Attend (ages 12-18 only): Parent/Guardian Name (ages 12-18 only): Shirt size: Birthday (month/day/year): Date Available to Start: Available to volunteer (please check all that apply) Morning Afternoon Evening Specific days and hours Have you ever been convicted of a felony? Yes No If yes, please explain Do you have a food handler's permit? (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, cost is $10) Yes No 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 names and phone numbers
Volunteer/Intern Opportunities (check areas you are most interested in) SCERA Shell Outdoor Theatre (May to September) - Ushers, Concession workers, Gate attendants, Ticketing SCERA Center for the Arts (Year-round) - Ushers, Concession workers, Box office SCERA Arts Education Programs (Year-round) - Assistants & Support staff Drama Choir Ballroom Visual Art Photography Woodturning Orchestra Guitar Playwriting Broadcast/Multi-media Filmmaking Technical & Production (Year-round) Sound Lights Costumes Props Stage Management Set Construction/Painting As a volunteer/intern, you are not covered by Worker's Compensation Insurance. Do you or your family have health insurance? Yes No Your personal or family medical insurance company: Insurance policy # * 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.
