Volunteer Application Thank you for your interest in volunteering! Please complete the application below, submit, and we’ll be in touch! Please enable JavaScript in your browser to complete this form.Contact InformationName *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome PhoneMobile Phone *Email *EmailConfirm EmailHow Can You Help?Special Interests and SkillsList your special skills, interests, or vocational pursuits to help us find the right match between our volunteer needs and your interests.I am willing to help with: (check all that apply)InterpretingRowing/paddling activitiesRetail sales Office workExhibits and collectionsMedia and marketingSpecial demonstrationsYouth group tours (school group etc.)Schooner activitiesGeneral maintenance/repairOtherIf "other" please explainSpecial Tool or Equipment SkillsAvailabilityWhen can you help? We're especially interested in people who are willing to commit to a set schedule, daily or weekly.Employment and Volunteer HistoryIf you don't mind, please tell us a little about what you do for work and any volunteer work you may have done or are doing.Medical TrainingDo you have any medical training to assist in an emergency? If yes and you'd be willing to help if the need arises, please describe your training. Personal DetailsDate of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Allergies *YesNoDo you have any allergies? What are you allergic to? *Medication *YesNoAre you taking any medication? What is it, and what is it for? *Medical conditions *YesNoDo you have any medical conditions that we should be aware of?Please describe *Emergency InformationContact 1 Name *FirstLastContact 2 NameFirstLastContact 1 Phone *Contact 2 PhoneContact 1 Relation *Contact 2 RelationInsurance Company *Policy number *SignaturePermissionsI am 18+ years of ageI have received, read, and understood the LCMM volunteer handbook and agree to the terms and conditions there in.I hereby agree to allow my photograph or likeness to be used in museum publications.I agree to the use of photographs I submit to the museum, to be used in museum publications.Signature *Clear SignatureParent or Guardian *Clear SignatureIf applicant is under the age of 18, we need the signature of a parent or guardianPrinted Name of Parent or Guardian *NameSubmit
