REGISTRATION: THE NATIONAL 9/11 PENTAGON MEMORIAL STATEMENT OF COMMITMENT & UNDERSTANDING

Thank you for volunteering with the Pentagon Memorial team. In order to best match your skills and talents to potential opportunities with the Memorial, we ask you to complete the attached survey (Docent Skills Inventory) following the application. Please complete all sections of this form, not just the one area in which you hope to volunteer. You may be asked to update this periodically as training and experiences may change your responses.

Please mark, on a scale of 1 to 5 (5 being high), your skill and comfort levels in the following areas.


* required field
APPLICANT INFORMATION
 

ADDITIONAL INFORMATION
Occupation:
Why do you want to become a Docent?
I have received, reviewed and understand the Docent Roles & Responsibilities
 Yes
I have completed and attached the Docent Skills Inventory
 Yes

Experience
Please explain the nature of your experience (if any) in public speaking
Please explain the nature of your experience (if any) in local history knowledge
Please provide a brief description of your experience on September 11, 2001
Number of years living in the region

References
First Reference Name
First Reference Position
First Reference Phone
Second Reference Name
Second Reference Position
Second Reference Phone

Availability
Days Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Times of day you usually prefer:
Times of day you're NOT available:
Would you like to volunteer year round?
 Yes  No
If you leave the area for the winter, when are you usually away?
Do you drive in the wintertime?
 Yes  No

Emergency Contact Information
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone
Emergency Contact Alternate Phone Number
Primary Care Physician
Primary Care Physician Phone Number
Special Needs / Allergies we should know about in the event of an emergency (for our files only, information will not be shared)

Agreement
I Accept the Docent Statement of Commitment and Understanding
Refer to: Docent Statement of Commitment and Understanding
 Yes

Docent Skills Inventory
Docent Role
Greeting visitors as they arrive; hospitality
Providing emotional support to visitors, listening skills
Ability to relate Flight 77 and Pentagon stories, recall details, organize facts


Speaking to large groups
Speaking one on one
Docent Recruiter Role
Contact recommended organizations and individuals
Effectively explain the Docent program to interested recruits
Provide necessary information about the Docent Program, the events of 9/11, and the Pentagon Memorial to recruits


Leadership
Organization
Communication
Docent Scheduler Role
Ability to call and email Docents
Maintain schedule website
Scheduler Leadership
Scheduler Organization
Scheduler Communication


Fluent Languages
ASL (Sign Language)
Arabic
Chinese
Dutch
Farsi
Finnish
French
German
Greek
Hebrew
Hmong
Indian (Hindi/Urdu/Misc)
Italian
Japanese
Polish
Portugese
Russian
Spanish
Somali
Swedish
Tagalog
Thai
Vietnamese
Other
Presenting to Special Interest Vistor Groups
Veterans
Middle School Youth
Senior Citizens
Individuals with special needs (i.e. limited vision, limited hearing, limited mobility, mental illness or mental retardation)


Elementary School Children
High School Youth
Fire and Police Departments
Additional Training
Do you desire additional training in any of the above areas?
 Yes  No
If YES, please list which areas you would like to be trained in.



Thank you for your interest!
 
 
Gailthersburg, Maryland 20885
301 740 3388
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