Volunteer/Intern Application Form

Name: Date:
Address:
City: State: Zip Code:

Home: Work: Cell:
Email Address:

Emergency Contact Information:
Name/Address: Number:
Name/Address: Number:
Name/Address: Number:

Why are you applying for our program? Spare Time Public Service
School Credit Learn new skills Learn history and/or preservation
Please list any other reasons why you would like to volunteer.

Are you currently enrolled in school? Yes No
If so, where are you enrolled?
Degrees which you currently hold:
Are you currently employed? Yes No
If so, where are you employed?
Describe any additional training you have:

Check any of the items below which you have experience in.
Answering Phones Customer ServiceWriting Memos
Computer Experience Historic Preservation Other Writing
Marketing/PRTeaching Learn history and/or preservation

List any software products you have experience with.
List any other experience which you may have.