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Volunteer and Intern Application

First Name: 
Last Name: 
Address: 
City: 
State: 
Zip: 
Your E-mail Address: 
Cell Telephone: 
Area code:   Phone: 
Home Telephone: 
Area code:   Phone: 
Emergency Contact Name: 
Emergency Contact Phone: 
Volunteer Type: 
Interns School Affiliation: 
Interns School Contact Name: 
Interns School Contact Phone: 
Level of Education: 
Interest: 




Days Available: 




Times Available: 


List any special skills, hobbies or past experience: 

I certify that the information on this application is correct. I authorize Ostego Bay Foundation Inc. to call my references and or a background check to obtain information pertenent to my responsibilities as a volunteer at the Science Center I hereby agree to abide by all rules, policies, directives of the Foundation. I understand that I will not become an employee of the Ostego Bay Foundation and that nothing contained herein creates an employee-employer relationship. I further understand that the Ostego Bay Foundation Inc. may terminate my role as a volunteer at any time. I hereby release the Ostego Bay Foundation Science Center and its employees, agents, and/or servants from any liability for any accident or injury I might suffer during the course of my volunteer work.

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