Your Palace | Your Place to Educate

Volunteer Form

Please contact us for more information or to share your comments with us.

Please fill out the entire contact form and click "Submit."
You may also print this page out and mail it to:

Palace Theater
100 East Main Street
Waterbury, CT 06702

Title:
First Name:
Last Name:
Home Address:
City:
State:
Zip Code:
Day Phone:
Evening Phone:
Email:
Birthday:
Emergency Contact:
Emergency Phone:
Educational Background:
Highest Degree Attained:
Most Recent Work:
Fluent Language(s):
Areas of Interest:
Ushering
Tour Guide
Administration
Education
Are you able to stand for a long period of
time and climb stairs?
Talents, skills and special abilities:
What are your reasons for enrollong in
The Palace Guard Program?
What do you think best qualifies you to
represent The Palace as a volunteer?

Application Statement

I certify that these statements made in thie volunteer application are true and correct, and have been given voluntarily. If the information provided via this electronic form is found to be untruthful, I understand that I may be released from The Palace Guard Volunteer Program.

I understand that I will not be paid for my services as a volunteer, and that filling out an application for the program does not guarantee my acceptance as a volunteer.

I have read and agree to the above Application Statement.

© 2008 Palace Theater. Site designed and hosted by The Worx Group. Email the Webmaster. Photos courtesy of Louis Belloisy