VOLUNTEER APPLICATION

Name *

First

Last

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Why are you interested in volunteering at the C.C.H.&G.S. ? What do you hope to gain from the experience?

How do you feel the C.C.H.&G.S. would benefit from your involvement in our volunteer corps?

What type of volunteer work interests you?

If Other - Please Explain

The C.C.H.&G.S. researches, collects, compiles and provides information on a wide variety of Campbell County history topics. Which of the following are of interest to you?

If Other - Please Explain

Employment/Education

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

Please attach current resume.

Education or Training Certificates

Please list other Organizations which you currently volunteer for or have volunteered for (business, civic, community, fraternal, political, professional, recreational, religious, or social).

Dates - Organziation - Your Role

Is there any other information you would like to share?

How did you hear about C.C.H.&G.S.?

Have you ever been convicted of a felony or misdemeanor?

No
Yes

Do you have any health issues that may limit the functions you can perform?

No
Yes

Do you require any special accommodations?

No
Yes

If Yes (please explain)

What days and hours are you available to volunteer?

Are you available to do volunteer work from:

Home
Office
Both

I am willing to work as volunteer at the Campbell County Historical and Genealogical Society and if selected I agree: • To abide by all rules and regulations of the C.C.H.&G.S. • To assume full responsibility for any and all risks that may arise from my presence at the C.C.H.&G.S. office or at any event in which C.C.H.&G.S. participates. • To grant full and exclusive rights to C.C.H.&G.S. in any works I may create in the course of my volunteer activities. • That I am not an employee of C.C.H.&G.S. and will not be paid for my volunteer efforts.

Yes
No

Date

Signature

Clear Signature

Call Us

Our Email

Our Address

Visiting Hours

Email

Phone

Social Media

Office Hours