Personal Details
First Name:_________________________________
Gender:__________________________________
Middle Name:_______________________________
Date of Birth:______________________________
Last Name:_________________________________
Address Line 1: ______________________________
E-mail Address:______________________________
Mobile Phone:______________________________
City/State:___________________________________
Office Phone:_______________________________
Zip Code:___________________________________
Background Details
School/Employer:_____________________________
Referee Name:_____________________________________
Referee Role:______________________________________
Referee E-mail:_____________________________________
Referee Phone:____________________________________
Please list any relevant skills or training, including language skills, event experience, customer service, etc.:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Availability to Volunteer
Induction Ceremony:_____
All accepted volunteers must also take on at least one of the following shifts in Seattle (Fremont) to receive training and assist in preparation
for the Asian Hall of Fame. More information about shift location will be made available to selected volunteers.
*Parking is not provided or reimbursed for any induction or training shifts. Dinner will be provided for volunteers on June 6.
Date:_______________________________________________
I hereby certify that I am the parent or legal guardian of the Applicant and that the Applicant is aware of, in agreement with,
and bound to the 2015 Asian Hall of Fame Volunteer Application Terms and Conditions (following pages).
Name:____________________________ _ Phone:_____________________ E-Mail:___________________________________
Signature:_____________________________________
Date:_______________________________________________