Lake Township Historical Society

P O Box 482

Uniontown OH 44685

 

Volunteer Application

PLEASE PRINT

 

Name:____________________________________________________________________________

 

Address:__________________________________________________________________________

 

City:_____________________________________________________________________________

 

State:______________________ ____________ Zip Code:

 

Home Phone:______________________________________________________________________

 

E-Mail Address:____________________________________________________________________

 

Availability please check which hours you are available for volunteer assignments?

[ ] Weekday morning [ ] Weekday afternoon [ ] Weekday evenings

[ ] Weekend mornings [ ] Weekend afternoons [ ] Weekend evenings

 

Interests Please tell us which areas you are interested in volunteering. You may select more than one.

[ ] Schoolhouse and Museum Store [ ] Craft Committee [ ] Collections [ ] Education

[ ] Food Service [ ] Landscape [ ] Housekeeping [ ] Membership [ ] Office

[ ] Newsletter [ ] Interview [ ] Special Events [ ] Fundraising

[ ] Other_______________________________________________________________________________

 

Special skills or qualifications Summarize skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

 

Emergency Notification:

Name: ________________________________________________________________________________

Address: ______________________________________________________________________________

City: _________________________________ State: ______ Zip Code +4: _________________

Home Phone: __________________________________________________________________________

 

E-Mail Address: ________________________________________________________________________

 

 

Signature: _____________________________________________________________________________

 

Name (printed): _________________________________________________________________________

 

Date: ________________________________________________