Dubuque County Historical Society Images

Application

To apply for an employment or volunteer position with the Dubuque County Historical Society, fill out our online form below. You may also download a PDF of the application and fax or mail it to the address at the bottom of this page.

Please fill out form completely. Volunteers and employees must be 14 years of age or older.

Personal Information


Name:
Parent/Guardian's Name: (if you are under 18)
Street:
City:
State:
Zip:
Date of Birth:
Gender Male Female
Phone (with area code): (evening)
(daytime)
Email:
School or Employer:
School grade level or Position at work:
Business/School Address:
If retired, please indicate and list former employer)

How did you hear about volunteer opportunities at NMRMA?

Brochure Workplace Notice
Friend or Family Internet (which site?):
Newspaper (which?): Other:

Education and Experience


Degree Subject Institution Name Date Completed
or Anticipated Date
High School
College/University
Graduate School
Trade, Business, or other school
Specialty Training

Do you speak any languages besides English fluently? No Yes:
Do you have previous volunteer experience? No Yes
If yes, please briefly describe this experience. Include the type and dates
of the experience and name of the organization.
 

References


Please list two work, school, or personal references, not relatives, whom we may contact regarding your application.

Reference 1 Reference 2
Name: Name:
Daytime phone w/
area code:
Daytime phone w/
area code:
Street: Street:
City: City:
State: Zip: State: Zip:


Interests and Work Schedule


I am interested in the following areas:
Educator/Exhibit Hall Interpreter Archives
Greeter Special Events
Mailings
Other:

Special Interests:
Animals Riverboats
Drama Promotion
Natural Resources History
Other:

When are you able to volunteer? Weekdays Weekends

What hours would you be available to volunteer? List the hours of the day below the days you are available.
Monday Tuesday Wednesday Thursday Friday Saturday Sunday


VOLUNTEER INTERVIEWS AND TRAINING
All potential volunteers must apply in writing, and will be interviewed prior to being accepted. Those who would like to work as educators must complete up to 15 hours of formal training. Other positions require on the job training. Please call the volunteer office at 563.690.0933 for additional information or to arrange an interview.

CRIMINAL BACKGROUND CHECK (Adult volunteers only)
Following the interview, the National Mississippi River Museum & Aquarium will request the Iowa Bureau of Criminal Apprehension to release all information and data authorized under the Iowa law, for the purpose of your volunteering at the Museum & Aquarium. A signed consent form is required before this check can be completed. Convictions and pleas are not an automatic bar to volunteering. Relevant factors such as the nature of the
violation, how recent and serious the charges, as well as evidence of rehabilitation will be considered.

Volunteers, Parents, & Guardians, please read and sign below:
I hereby affirm that the information provided on this application is true and complete to the best of my knowledge. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations named in this application to provide any relevant information that may be required. I also agree that falsified information or significant omissions may disqualify me from further consideration and may be considered justification for dismissal if discovered at a later date.

I understand that I will be interviewed prior to being accepted as a museum volunteer and I/applicant will be expected to complete the required training for museum volunteers. I understand that youth volunteers must be at least 14 years of age to be accepted.

By checking this box you are agreeing to the above statement

Applicant's name: Date: (00/00/0000)


Applicant is under 18. He/She has my permission to become a volunteer at the Mississippi River Museum.

Parent/Guardian's name: Date: (00/00/0000)



If you wish to fax
or mail the application,
send it to:

Fax:
Volunteer Department
National Mississippi River
Museum & Aquarium
Fax: 563-557-9548

Mail:
Volunteer Department
National Mississippi River Museum & Aquarium
350 E. 3rd Street
Dubuque, IA 52001