* - All fields are required.

First Name

Last Name

Date of Birth

Email Address

Telephone Number


Emergency Contact

Do you have any Mental Health or Medical Conditions? If so, please describe.

Dietary Preference (Vegetarian, Vegan, etc)

Have you ever attended CoSM Events?

Why do you want to volunteer at CoSM? (One paragraph)

What is your biggest strength and weakness?

Do you have a criminal record?

Please provide one reference:

Reference Name :

Reference Phone Number :

Reference Email :

Reference Relationship to You :

List skills here:

Team Leaders: Do you have any experience in leading crews of people to collaboratively accomplish tasks?

Desired dates of service:


Duration of potential stay:

Please provide an image of yourself:

Additional Notes