Have you ever been convicted of a felony or misdemeanor or had adjudication withheld of a felony or misdemeanor, excluding minor traffic violations?
Yes No
(Note: A “Yes” response will not necessarily bar you from volunteering. Facts, such as date of occurrence and rehabilitation will be considered as it relates to the volunteer position in question. This information will be used only for volunteer-related purposes and only to the extent permitted by applicable law).

If yes, please explain:

Before checking the following boxes, make sure you fully understand the contents, meaning, and impact of the releases.

I give ASDM permission to release information about my participation in the Internship Program; information that might be solicited on my behalf for reference purposes. Such information might include, but not limited to: length of service, volunteer responsibilities and quality of participation.

I hereby grant Arizona Sonora Desert Museum permission to use my likeness in a photograph or other digital reproduction in any and all of its publications and advertisements, including website entries and television commercials, without payment or any other consideration. i understand and agree that these materials will become the property of Arizona Sonora Desert Museum and will not be returned. I hereby irrevocably authorize Arizona Sonora Desert Museum to edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing its programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties of other compensation arising or related to the use of the photograph. I hereby hold harmless and release and forever discharge Arizona Sonora Desert Museum from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

By checking this box, I guarantee that the information provided in this application is true and correct. I also acknowledge that the Desert Museum's insurance will not cover me in the unlikely event of an accident or injury while volunteering. The Museum's commercial general liability insurance covers claims against volunteers by third parties, but your own health and property insurance must cover any claims for bodily injury or loss of damage to personal property that might incur while volunteering with us.

For grant purposes, please feel free to select the ethnicity you most identify with:
-- Select -- Caucasian Hispanic African American American Indian Asian Two or more