Musicians On Call Form

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Musicians On Call
We greatly appreciate your interest in volunteering. The more information you provide, the better we can match your interests with our programs. Please fill out the form below and click "Submit." If you prefer to mail in your application, please download and print the WXPN Musicians On Call Volunteer Application (21KB PDF). Please allow at least two weeks for the Musicians On Call office to review your application and get back to you.

Personal Information

Name
Address
City
Zip
Email
Home Phone
Business Phone
Cell Phone
Date of Birth

Volunteer Information

Interests
I would like to volunteer: (please check)
Directly with patients
(Volunteer Musician must be 16 years of age or older, guide 18 or older)
In other areas:
Availability
I would be able to volunteer:(check all that apply)
Beginning

Details
Health (this info will be kept confidential)
Is there any health reason which might limit your ability to volunteer in a hospital?
If yes, please explain:
Experience
How did you become interested in volunteering for WXPN Musicians On Call?
Please list previous volunteer experience such as organization, location, dates, hours served, and what you did.
List experience you had with children (including your own) and age groups.
List any other experiences or skills related to your volunteer interests.
Music Experience (needed for Volunteer Musicians only):
List instrument(s) you play
List genre(s) of music can you play
Are you willing to learn covers?

Employment/Education History

Employment
Most Recent Employer:
I have completed (please check)
Degree or Major
I am now studying at:
Expected Date of Graduation:
Status
List courses relating to your volunteer interest.
Thank You!




For more information about Musicians On Call
please visit their official site.

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