Volunteer Dive Program Application

Name (required)

Date (required)

Address (required)

City (required)

State (required)

Zip (required)

Birthdate (required)

Home phone

Work phone

Mobile phone

Email (required)

Emergency Contact Name and Phone Number (required)

Spouse's Name (for membership purposes)

Education

Highest level of education completed (High School, college, graduate school, etc.)

Graduated
 Yes No

Degree/Diploma (if applicable)

Major

Other training or certification

Work Experience

Occupation (If retired, give most recent paid employment)

Current Employer / Position

Are you a student?
 Yes No

Institution

Diver Certification and Experience

Highest level of recreational certification (required)

Date of certification (required)

Number of logged dives (required)

Date of last dive (required)

Volunteer Availability

List ALL day(s) of the week you are available to volunteer (required)

List the day(s) of the week you prefer to volunteer (required)

IMPORTANT: You must pass a NC Aquarium dive physical before participating in this program. The required
commitment for this program is one full day (9 AM - 4 PM) once every two weeks, for a minimum of one year.

Volunteer Experience

Organization and dates of volunteering

Responsibilities

Have you ever been convicted of an offense against the law other than a minor traffic violation? (required)
 Yes No
If yes, please explain
(Conviction does not necessarily preclude an applicant for volunteer positions.)

References

All references should be professional, academic or community, and someone who is not related to you or living with you.

1. Name Relationship

Address Phone

 

2. Name Relationship

Address Phone

Acknowledgement

I certify that the statements made in this volunteer application are true and correct, and I have not knowingly withheld any information. If the information provided in this document is found to be untruthful, I understand that I will be released from the volunteer program. I authorize verification of all information contained in this application and grant permission for references to be contacted.

I understand that I will not be paid for my services as a volunteer, and that filling out an application for the program does not guarantee acceptance into a volunteer position.

I understand that as a volunteer at the North Carolina Aquarium, I will be expected to demonstrate a serious commitment to uphold the mission of the Aquarium, to maintain an environment of integrity for people and the animals, and to focus on customer service, with respect for all employees, volunteers and guests. I agree to follow all Aquarium guidelines and policies.

 Accept