Teen Volunteer Application

General Information

The information below is required for identification purposes only, and is in no manner used as qualifications for participation in the Illinois Holocaust Museum & Education Centervolunteer program. The Museum is an Equal Opportunity Employer and does not discriminate on the basis of sex, race, religion, age, disability, or national origin.

Name(Required)

First Last

Birthdate(Required)

Email(Required)

Enter Email Confirm Email

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Social Security Number(Required)

This is needed for the background check.

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Prior States of Residence(Required)

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Driver's License Number(Required)

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State(Required)

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Expiration Date

Employment Information

Current Job Title

Employer's Name

Employer's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates of Employment

Employer Phone

Educational Information

High School

High School Location

Date of Graduation

Volunteer Experience

List previous volunteer experiences, including organization names, your role, dates served, and your reason for Leaving(Required)

If no experience, please write “No experience.”

Why do you want to volunteer at the Illinois Holocaust Museum and Education Center?(Required)

What interests or experiences do you feel may have prepared you for this program?(Required)

List any special skills you possess that would be an asset to the Museum volunteer program:

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Are you proficient in any other languages, including American Sign Language or Signing Exact English?

Are you proficient in any languages other then English?

Spanish

Russian

Hebrew

Polish

American Sign Language

Other

Which language(s)?

I am available(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

I am available during the hours of 10:00 a.m. – 5:00 p.m. on the above days(Required)

Yes

Do you usually go out of town for an extended period at any point during the year?(Required)

Yes

If so, what time of year?(Required)

Fall

Winter

Spring

Summer

What lessons do you think learning about the Holocaust can teach us?(Required)

References

Please list two references such as past or present employers, teachers, volunteer supervisors, etc. We CANNOT accept family members or personal friends as references.

First Reference's Name

First Last

Relationship to You

Phone

Enter Email Confirm Email

Second Reference's Name

First Last

Relationship to You

Phone

Enter Email Confirm Email

Third Reference's Name

First Last

Phone

Enter Email Confirm Email

Emergency Contact

Name

First Last

Relationship to You

Phone

Enter Email Confirm Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Ethnicity

At times, the Museum is subject to certain governmental and donor recordkeeping and reporting requirements for the administration of civil rights laws, regulations, and diversity policies. In order to comply with these requirements, the Museum invites employees and volunteers to voluntarily self-identify their race, ethnicity, and religion. Submission of this information is strictly voluntary and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.

Ethnicity

African-American

Asian American or Pacific Islander

Arab American

Hispanic or Latinx

Indigenous/Native American

White

Prefer not to say

Are you Jewish?

Yes

Prefer not to say

Parent or Guardian Consent

By signing this form, I the parent or legal guardian of the named below, consent to the child’s participation in the volunteer activities organized by the Illinois Holocaust Museum and Education Center. I understand that the child will be provided with orientation and training necessary for the safe and responsible performance of the volunteer duties and will be expected to meet all requirements of the position, including compliance with ILHMEC’s policies and procedures. I understand that my child will receive no monetary compensation for this work.

Parent or Guardian's Name

First Last

Enter Email Confirm Email

Phone

Date

Comments

This field is for validation purposes and should be left unchanged.

Teen Application

General Information

Employment Information

Educational Information

Volunteer Experience

References

Emergency Contact

Ethnicity

Parent or Guardian Consent

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