Volunteer Application – Black Arts Fest MKE

Name *

First

Middle

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Birth Date

Ethnic Origin

Emergency Contact *

Emergency Contact Mobile Phone # *

Emergency Contact Home Phone #

T-Shirt Size *

We will do our best to accommodate your size but the t-shirt order needed to be placed. You will receive your shirt upon check-in at the festival.

Profession

Employer

Why do you want to be a Black Arts Fest MKE volunteer?

Briefly share where you heard about our Volunteer Program?

Please select your top two preferred positions: *

What shift do your prefer?

The first shift is full but we'd love to have you later in the day or evening!
3pm - 7pm
6:30pm - 10:30pm
Other (office assistant, receptionist, etc.)

Most positions scheduled until 10:30pm may not run the full duration of the shift.

REFERENCE: Please provide the name and phone number of one person who knows you pertaining to your skill, dependability, and character:

Reference name

Reference Phone Number

Have you ever been convicted of any crime, other than minor traffic offenses?

Yes
No

Are you currently named as a defendant in any lawsuits?

Yes
No

If yes, please describe

In the past twelve (12) months have you been terminated from employment for cause?

Yes
No

If “YES” please list the date of termination; the reason for termination and the name of the employer.

If you are currently a full-time student, have you been suspended or expelled from school in the past three years?

Yes
No

If “YES” please list the name of the school and reason for suspension or expulsion.

THANK YOU for your interest in volunteering with Black Arts Fest MKE on Saturday, August 3, 2019. Please review the following before signing and dating your application: I authorize investigation of all information contained in this application. I acknowledge and understand that any misrepresentation or omission of facts may result in rejection of my application. I further authorize Black Arts Fest MKE, Inc., to conduct a litigation and/or criminal records background check, if it deems it appropriate to do so, and to contact any employers or references to verify information. I give my consent to all contacted persons, to provide information concerning this application. I hereby release from liability and responsibility, all persons, companies or corporations supplying such information and Milwaukee World Festival, Inc., in obtaining same. I also release any public or governmental agencies from liability which may result from furnishing my records. Also, as a volunteer, I understand and agree that Black Arts Fest MKE, Inc., is not required to and will not provide me with any insurance covering me in the event that I am injured or sick before, during, or after my volunteer activities on the Henry Maier Festival Park. I hereby knowingly release, indemnify, and hold harmless Black Arts Fest MKE, Inc., and their respective consultants, employees, officers, directors, funders, fiscal agents, sponsors, from any and all liabilities, claims, damage, or loss incurred or arising from the volunteer’s participation in the Summerfest Volunteer Program. I further understand and agree that I will indemnify and hold Black Arts Fest MKE, Inc., harmless from any injury, sickness, or damage to property that I may suffer as a volunteer. I have read and will follow the Black Arts Fest MKE Code of Conduct. I acknowledge that I may be removed from the volunteer program if I do not comply with the Black Arts Fest MKE Code of Conduct. I further acknowledge that I cannot participate in the volunteer program until any background checks referenced above are completed, and my participation has been approved.

NAME OF VOLUNTEER:

BY CHECKING THIS BOX, I AGREE TO THIS SERVING AS MY SIGNATURE BEING PERMITTED ELECTRONICALLY:

Agree

Date / Time

Name *

First

Last

2019 VOLUNTEER APPLICATION