Elk Grove Historical Museum & Society
Volunteer Application
In order to better match your abilities and interests with jobs available at the museum, we request that
you fill out the following application.
Name:
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Address:
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City & State:
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Zip Code:
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Phone Number:
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E-Mail:
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Emergency Contact
(Name & Phone Number): _________________________________________________________________________________
Relation:
_________________________________________________________________________________
Interests: List the interests you have pertaining to history and the museum.
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
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Background: List job related experiences, current and previous volunteer agencies and work that you
feel are related to the work you plan to do at the museum.
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
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Duties: Mark the duties you would like to participate in.
o Special Events *hours will vary depending on type of event
o Interpreter/Tour Guide
o Program Leader
o Archive Office Work: copying, filing, research
o Historical and/or Genealogical Research
o Building & Grounds Work: gardening, painting, cleaning, small building projects, basic repairs
o Artisan/Craft Work: particularly textile production and woodworking
Availability: Please check as many boxes that apply to your availability
Day of week*
**AM
(10am12pm)
**PM
(12:302:30pm)
Tuesday
Wednesday
Thursday
Friday
Saturday
*Museum is closed on Mondays and Sundays
**AM/PM shifts are subject to change depending on staff availability, program bookings, special events, etc.
I,
, hereby release Elk Grove Village Park District and the
Farmhouse Museum staff and trustees from liability for any injury incurred while volunteering on Park
District property or in Park District programs and events.
Volunteer Signature:
/date
Parent or Guardian Signature:
(required for volunteers age 15 and under)
/date