Test Form

	Volunteer Application SEA Discovery Center/WWU 360-650-4905 sea@wwu.edu	#New Form

Community Volunteer Application

To be filled out by community volunteers. (Not for employees or students of WWU.)

STOP!!! PLEASE READ AND FILL OUT THE FOLLOWING:

All SEA Discovery Center volunteers must complete the Criminal Conviction Form and email COMPLETED form to volunteer@wwu.edu

Section 1 - Volunteer to complete

Last Name:

First Name:

Middle Name:

Email:

Phone:

Mailing Address:

Emergency Contact:

Phone:

I agree to perform in good faith my assigned or authorized volunteer duties as determined by Western Washington University. In order to successfully accomplish these volunteer duties, I agree to comply with applicable WWU policies and procedures, state laws, and state regulations. I understand that as a registered volunteer with the University, I am deemed a worker for all purposes relating to applicable Worker's Compensation benefits under RCW 51.36. I understand that I am not being paid, reimbursed or compensated in any other way by WWU for service or time.

Are you under the age of 17?

Yes

Volunteer Signature (or parent/guardian if under 17):

Date:

Section 2 - SEA Discovery Center Volunteer Preferences & Availability

What is your experience at SEA?

I am a new volunteer.

I have volunteered previously.

How did you hear about us?

SEA Discovery Center website

Other website (e.g. VolunteerMatch.com)

Visiting the SEA Discovery Center

From a friend

At a fair or festival

Other

If other, please describe:

In which area of the aquarium would you like to volunteer? (Mark as many as you wish.)

NOTE: You do not need any experience in these fields. We will train you!

Education & Outreach

"On the floor" during open hours (greeting, assisting, discussing animals in tanks)

School groups (organized lessons in the SEA classroom, on the beach, or out in schools)

Animal Care & Water Quality

Office & Operations

Availablility (Click on the days which you are available for volunteer):

Section 3 - Photo/Video Release

give permission to Western Washington University to use photographic

images and video footage of or by me in its public information activities and advertising without compensation to me.

This would include use in university publications, slideshows, videos, electronic and Internet media and the university's website. At the discretion of Western Washington University, use also could include making the photographs and video footage available to non-university organizations, such as newspapers, magazines, television stations, blogs, media-sharing websites and other providers of media content, in order to illustrate articles about the university or promote university activities.

This permission is granted for an indefinite time period. I hereby acknowledge that I have read and understand the terms of this release.

Date:

Section 4 - NOTES: For Offical Use Only

Name of program or event:

Location:

Name of photograper:

Routing Instructions

Volunteer route form to sea.forms@wwu.edu and submit

SEA forward form to HR volunteer@wwu.edu

HR attach CCV documents and route to SEA@wwu.edu and LOCK

Signatures and Attachments

The submitter may optionally enter their email address below. Press SUBMIT to send it.

Your Email Address: