I am available:
Please list two references such as past or present employers, teachers, volunteer supervisors, etc.
We CANNOT accept family members or personal friends as references.
Emergency Contact Information
Ethnicity - OPTIONAL
At times, the ILLINOIS HOLOCAUST MUSEUM & EDUCATION CENTER is subject to certain governmental and donor
recordkeeping and reporting requirements for the administration of civil rights laws, regulations and diversity policies. In order
to comply with these requirements, the ILLINOIS HOLOCAUST MUSEUM & EDUCATION CENTER invites employees and
volunteers to voluntarily self-identify their race, ethnicity, and religion. Submission of this information is strictly voluntary and
refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and will only be
used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the
information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not
identify any specific individual.
BACKGROUND INVESTIGATION, AUTHORIZATION AND RELEASE
An individual volunteering at the ILLINOIS HOLOCAUST MUSEUM & EDUCATION CENTER must undergo an investigation into
his or her background as a condition of placement. Background investigations are authorized by the individual and allow a
representative from the Museum to look into references, past employment history, law enforcement criminal history records,
driving records, and any statements made by the individual regarding his or her background and history.
These background investigations are typically conducted prior to actual placement. However, in the event that a volunteer is
placed in a position before the results of the investigation have been obtained, he or she must understand that continued
volunteer service is contingent upon a favorable result.
Volunteers are advised that criminal history and driving records are public information and can be obtained from municipal,
county, state and criminal files without prior authorization from the applicant or employee.
I have read and understand the above information.
The following information is true and correct to the best of my knowledge (PLEASE PRINT ALL INFORMATION):
Note: The above information is required for identification purposes only, and is in no manner used as qualifications for
participation in the ILLINOIS HOLOCAUST MUSEUM & EDUCATION CENTER volunteer program. The Museum is an Equal
Opportunity Employer, and does not discriminate on the basis of sex, race, religion, age, handicap or national origin.
DOCENT APPLICANT STATEMENT
I understand that I am applying to be an unpaid volunteer for the ILLINOIS HOLOCAUST MUSEM & EDUCATION CENTER and
that this application is not an application for employment. I understand that nothing in this application is intended to imply or
create an employment relationship or a contract for employment.
If I am accepted into the ILLINOIS HOLOCAUST MUSEUM & EDUCATION CENTER'S volunteer program, I agree that I will
abide by the requirements of the program, policies and procedures of the Musem, and commit to volunteer regularly for a
minimum duration of one year.