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Registration: Pickford Film Center
If you have not yet registered for access to our online scheduling system, please complete the following form.
* required field
APPLICANT INFORMATION
*
First Name
*
Last Name
*
Address
*
City
*
State/Province
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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District of Columbia
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Northern Mariana Islands
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Rhode Island
South Carolina
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U.S. Minor Outlying Islands
Utah
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Virgin Islands of the U.S.
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip/Postal Code
*
Email
*
Primary/Home Phone
ADDITIONAL INFORMATION
Why are you interested in volunteering?
Are you 21 or older?
Yes
No
Do you know anyone who volunteers?
Yes
No
If so, who?
Do you have a current food handlers permit?
Yes
No
Do you have a current liquor license?
Yes
No
I understand the Pickford Film Center requires proof of Covid vaccination from all staff, volunteers, and patrons.
Yes
Please describe your prior volunteer experiences (include organization names and dates of service)
Do you have any needs/disabilities you would like us to be aware of?
Yes
No
If so, Please explain
Have you applied to volunteer with us in the past?
Yes
No
If so, when did you apply?
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
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2014
2015
2016
2017
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2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Emergency Contact Information
*
Emergency Contact Name
*
Emergency Contact Phone Number
Emergency Notes/Relationship, Instructions, etc,
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Thank you for your interest!
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