Blair County Historical Society Volunteer Request Form

Blair County Historical Society Volunteer Request Form

This non-profit organization seeks to tell the stories of Blair Countians who left an imprint on our communities, industry, and nation. Help us preserve their history by joining us as a volunteer. If you wish to donate your time and talent, please fill out the form below. The completion of this form does not guarantee approval to become a volunteer. Staff will review your information and contact you promptly, if approved. Thank you for your interest in volunteering with the Society!
GENERAL INFORMATION

Please be advised that the information within this form will be kept confidential and will not be shared with any person or entity outside of the Blair County Historical Society's executive team.
Name:*

First NameLast Name
Email Address:*
Phone Number:*
Format: (000) 000-0000.
What is the best way to contact you?*
Address:*

Street Address

Street Address (Cont'd)

City

Zip Code
What is your gender?*
YesNo
EDUCATION & EXPERIENCE

Please share more with us so we can determine where your talents would be best served.
What is your current occupation?*
Trade SchoolHigh SchoolAssociate'sBachelor'sMaster'sDoctorateOther
What was your area of study?
YesNo
If yes, please elaborate. If no, type N/A.*
YesNo
If yes, please elaborate. If no, type N/A.*
Ex. historical societies, museums, private ventures, etc.
What other community organization(s) are you involved with? If none, type N/A.*
Ex. social clubs, libraries, service organizations, etc.
INTERESTS & AVAILABILITY

Please tell us how you can help and when you are available to assist with such activities.
Why do you want to volunteer with the Blair County Historical Society?*
YesNo
If yes, please elaborate below. If no, type N/A.*
Ex. school service hours, scouting projects, social programs, etc.
Are there any limitations to you volunteering?*
Ex. access to vehicle, lifting restrictions, inability to climb stairs, etc.

Which volunteer activities interest you?*

Rows	Definitely Interested	Somewhat Interested	Not Interested	Need More Information
Docent
Store
Events
Clerical
Fundraising
Archival
Research
Custodial
Maintenance

Do you have any qualifications or skills pertinent to the areas selected above?*
Ex. customer service experience, maintenance background, museum training, etc.

When would you be available to volunteer?*

Rows	Morning	Afternoon	Evening	Not Available
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

When can you start volunteering?*

MonthDayYear
EMERGENCY CONTACT INFORMATION

Please provide a name and number for someone we can reach out to in case of an emergency.
Emergency Contact Name:*

First NameLast Name
Relationship:*
Emergency Contact Phone Number:*
Format: (000) 000-0000.
BACKGROUND CHECK

Please verify the following information and then submit your volunteer application for review.
YesNo
If yes, please elaborate. If no, type N/A.*
YesNo
I, First & Last Name*, hereby authorize the Blair County Historical Society to perform a background check and investigate any public records relating to my criminal history or lack thereof. The organization will only use these findings to make an initial decision and will not further disseminate records. Additionally, I certify, to the best of my ability, that all of the information in this application is accurate. I understand any false statements may disqualify me from working with this non-profit organization.
Volunteer Signature:*
Date Submitted:*

MonthDayYear
Administrative Use Only -
Approved By BCHS Representative: _____________________________
Date Approved: _____________________________
Should be Empty:

Blair County Historical Society Volunteer Request Form

GENERAL INFORMATION

EDUCATION & EXPERIENCE

INTERESTS & AVAILABILITY

EMERGENCY CONTACT INFORMATION

BACKGROUND CHECK