Please provide the following contact information:

First Name:        Last Name:   

Date of Birth :   /                         21 years of age or older:  Yes No

Street or P.O. Box:   City:   

State:  WA AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY     Zip Code:   

Phone:   Home Cell       E-Mail:   

Place of employment:  

Occupation/Title:

Street or P.O. Box:   City:   

State:  WA AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY     Zip Code:   

Phone:   Fax:   E-Mail:

Front of House	Usher	Alcohol Sales
Misc. Office	Mailing Parties	Concessions
Box Office	Info Tables	Special Events
Poster Distribution	Maintenance	Set Painting
Set Construction	Sound Design	Sound Operator
Fly-Man (Rail)	Stage Crew	Light Design
Light Operator	Props Construction	Props Gathering
Set Design	Props Design	Costume Design
Costume Creation	Costume Gathering	Set Dresser
Makeup Artist	Other :
Current Food Handlers Permit: Yes No      Expiration Date:          /        Current Alcohol Servers Permit:Yes No      Expiration Date:          /        Current CPR/First Aid Training:Yes  No     Expiration Date:           /

Name:    Phone:   

Relationship:    

1.      Please tell us why you would like to volunteer for us.

2.    Have you been involved with Historic Everett Theater before? If so, in what capacity have you been involved (volunteer, staff, board member, etc.)?

3.   Please list other areas of community involvement.  In what capacity do/did you serve (volunteer, staff, board member, etc.)?

4.    Please list the skills/experience/education/expertise that you bring to the  Historic Everett Theater Volunteer position.

5.    What do you hope to gain through your volunteer experience with the Historic Everett Theatre?