Form Center

2. Personal Information
4. 
   
6. Today's Date (mm/dd/yyyy)*
8. First Name*
9. Last Name*
10. Middle Initial
12. Address*
14. City*
15. State*
16. Zip*
18. Home Phone*
19. Cell Phone
21. E-mail*
22. Birth Date (mm/dd/yyyy)*
24. Gender*

    1. Female
    2. Male
26. 
    
28. How did you hear about our volunteer program?*

    1. From a member/I am a member - see below
    2. From a friend
    3. Newspaper - see below
    4. Website
    5. Naper Settlement employee - see below
    6. Visited the museum
    7. Brochure
    8. From another volunteer - see below
    9. TV/Radio
    10. From a board member - see below
    11. Other - see below
30. 
    
32. Name of the person who referred you:
34. 
    
36. What is your availability?*

    1. All year
    2. Academic (Sept.-May)
    3. Summer (June-Aug.)
38. 
    
40. Are you currently a Naper Settlement Season Pass Holder or Member?*

    1. Yes
    2. No
42. 
    
44. Days you are available to volunteer (check all that apply):*

    1. Sunday afternoon
    2. Monday morning
    3. Monday afternoon
    4. Tuesday morning
    5. Tuesday afternoon
    6. Wednesday morning
    7. Wednesday afternoon
    8. Thursday morning
    9. Thursday afternoon
    10. Friday morning
    11. Friday afternoon
    12. Saturday morning
    13. Saturday afternoon
    14. Any of these times
46. 
    
48. What areas are you interested in volunteering? Please choose your top three. *

    1. Building Interpreter (Adults 18 and older) – lead tours through our historic buildings. Can be costumed or non-costumed. Formal training is required.
    2. 2016 History Connectors waiting list (9th grade and older) – assist interpreters and paid staff with further visitor activities and themed activity carts. Formal training is required.
    3. 2017 Junior Volunteer waiting list (4-8th grade) – Costumed volunteers who interpret life for children during the 1800s. Formal training is required.
    4. General Office Assistant – help various departments around the settlement with filing, data entry, labeling, and shredding. Year-round.
    5. Curatorial Department – assist staff with cataloging, accessioning, and archiving objects from the Settlement’s collections.
    6. Memberships – promote and sell membership during special events.
    7. Library Researcher - assist staff with ongoing research on Naperville history, local families, and objects in the collection.
    8. Buildings and Grounds - assist staff with site maintenance, including painting, historic preservation, gardening/horticulture, landscape maintenance, and special events set-up.
    9. Special Events – Selling tickets, monitoring lines, passing out programs, and much, much more during Civil War Days (May) Naper Nights (June, July, and August) Oktoberfest (October) and All Hallow’s Eve (October). Seasonally April- October.
    10. Weed Ladies – create and sell dried and silk floral arrangements as a Museum fundraiser
50. 
    
52. Education Completed
54. 
    
56. Please indicate current grade or last grade completed.*

    1. Grade 4
    2. Grade 5
    3. Grade 6
    4. Grade 7
    5. Grade 8
    6. Grade 9
    7. Grade 10
    8. Grade 11
    9. Grade 12
    10. College 1st year
    11. College 2nd year
    12. College 3rd year
    13. College 4th year
    14. Graduate 1st year
    15. Graduate 2nd year
    16. Graduate 3rd year
    17. Graduate 4th year
58. 
    
60. School attending or last school attended*
62. 
    
64. Employment Information
66. If you are employed or are the parent/guardian of a volunteer under 18, please provide current employment information.
68. 
    
70. Company Name
72. Address
74. City
75. State
76. Zip
78. E-mail address at work
80. Occupation
81. Full or Part Time

    1. Full Time
    2. Part Time
83. If necessary, may we contact you at work?

    1. Yes
    2. No
85. 
    
87. How did you hear about Naper Settlement's Volunteer Program?
89. 
    
91. Previous Volunteer Experience
93. 
    
95. Organization
97. Your position
99. Contact Name
100. Contact Phone
102. Organization
104. Your position
106. Contact Name
107. Contact Phone
109. 
     
111. What other skills could you share with Naper Settlement?
113. Foreign Language (list languages in which you are fluent)
115. 
     
117. Why would you like to volunteer at Naper Settlement?
119. References
     
120. Please provide two references, not related to you.
122. Name*
123. Phone*
125. Name*
126. Phone*
128. Background Information
130. Have you ever been convicted as an adult for a criminal violation? (Naper Settlement will not automatically reject an application for these occurrences.)*

     1. Yes
     2. No
132. If yes, state date and place
134. Nature of offense
135. Disposition
137. 
     
139. Emergency Contact
141. Name*
142. Address*
144. City*
145. State*
146. ZIP*
148. Home Phone*
149. Cell Phone
151. 
     
153. Optional Information (anything you feel that is important for us to know)
155. Medical Information
157. Allergies
158. Year of Last Tetanus Shot
160. Are you allergic to bee or wasp stings?

     1. Yes
     2. No
162. 
     
164. Commitment of Volunteer Service
166. If Naper Settlement/Naperville Heritage Society agrees to accept your services as a volunteer, we will commit to providing you adequate information, training, and supervision as a volunteer to carry out the responsibilities of the position. You will agree to perform duties as outlined in the position description to the best of your abilities, meet time and duty commitments or provide adequate notice to your supervisor so alternate arrangements can be made, and adhere to the policies and procedures of the organization, including confidentiality of information, you understand that volunteers are not employees of the organization, receive no direct monetary compensation and no special consideration if applying for a paid position. Naper Settlement/Naperville Heritage Society will do our best to make you experience as a volunteer a productive and rewarding one.
168. 
     
170. Naper Settlement Volunteer Agreement
172. To complete the application process, read the following volunteer agreements and give your electronic signature where it is appropriate.
174. 
     
176. Photo Release and Hold Harmless Agreement:
     I agree that Naper Settlement/Naperville Heritage Society may use my likeness in any brochures or promotional
     materials that will be used to promote Naper Settlement/Naperville Heritage Society. As a volunteer or parent/guardian of a volunteer, I recognize and acknowledge that there may be a risk of physical injury and I agree to assume the full risk of any injuries, including death, damages or loss which I or my minor child may sustain as a result of participating in any and all activities connected with or associated with the volunteer program. I agree to release and hold harmless Naper Settlement/Naperville Heritage Society, its agents, employees, volunteers and the City of Naperville from all damages, judgments, expenses (including attorney fees), costs or liabilities suffered because of injury or damage of property, which may arise out of, or as a consequence of any volunteer work I may perform. I understand that my volunteer status may be terminated at any time for failure to comply with policies and procedures of Naper Settlement/Naperville Heritage Society, including those of the volunteer program, or when in the judgment of the society, continued service as a volunteer would be contrary to the best interest of the organization.

     I understand that Naper Settlement/Naperville Heritage Society may conduct periodic background checks and I will provide any additional information as requested.

     I agree to provide my social security number upon request from Naper Settlement/Naperville Heritage Society, as required by the City of Naperville for all volunteers authorized to make purchases for events and programs.

     The confidentiality of all information provided in this volunteer application will be respected.
     
178. 
     
180. Sign and Date:
182. I agree that the statements made in this volunteer application have been freely given, are correct and true and that I accept the Photo Release and Hold Harmless Agreements and will provide information for a background check and social security number if requested. Naper Settlement/Naperville Heritage Society will hold all information provided in this application and agreement in strict confidence.
184. 
     
186. I understand that Naper Settlement will conduct a criminal background check on volunteers over the age of 18 and I will need to provide additional information when requested.
188. 
     
190. Volunteer Signature*
191. Date (mm/dd/yyyy)*
193. Parent/Guardian Signature
194. Date (mm//dd/yyy)
Leave This Blank:


196. 1. Receive an email copy of this form.
197. Email address

     This field is not part of the form submission.

198. Submit

* indicates a required field