SALEM COUNTY HISTORICAL SOCIETY 79-83 MARKET STREET SALEM, NEW JERSEY 08079 (856) 935-5004 FAX (856)-935-0728

Volunteer Application
(Please print application - Then bring, fax or mail completed form to the Society)

(return to main document) PERSONAL INFORMATION:

Name: ________________________________________________________________________
Address: _______________________________________________________________________
City, State and Zip: ______________________________________________________________
Daytime Phone: ______________Evening Phone: ______________ Email: _________________
Emergency Contact and Phone: ____________________________________________________
If Student, School: _______________________________________________________________
   Advisor Name and Phone: __________________________________________________
Days available: _________________________________________________________________
Hours you are available: __________________________________________________________
Are you available occasionally on short notice? Yes ___ No ___

The quality of the services provided by the Society is dependant upon the contributions of its volunteers. We are very grateful to you for your interest in sharing your time and skills with the Society. We would appreciate you supplying us with information about your experience, interests, and any activities for which you might wish to volunteer your services.

Your principal occupation(s): ______________________________________________________
What has been your favorite volunteer experience? ______________________________________________________________________________
______________________________________________________________________________
What do you hope to gain from your volunteer experience? ______________________________________________________________________________
______________________________________________________________________________

Please list any of your hobbies or skills you feel might contribute to the Society, such as collecting particular types of antiques, restoration, genealogical studies, computer skills, etc.:
______________________________________________________________________________
______________________________________________________________________________

INTERESTS:
Would you be interested in sharing your knowledge and/or time in any of the following areas of special interest? (Please check all that apply)

Art Work Barn Buildings and Grounds China Finance

Docent Tours Dolls Education Lessons Furniture Public Programs

Fund Raising Genealogy Glass Library Projects School Tours

News Letter Oral History Textiles Collections Cataloguing Native American Artifacts

Other (please specify) ____________________________________________________________

SPECIAL INTEREST COMMITTEES:

Would you like to serve on any of the following committees whose function it is to manage periodic and/or special events? (Please check all that apply)
__ Annual Dinner
__ Annual Giving
__ Bus Trips and Travel
__ Exhibit research and set-up
__ House and Garden Tour
__ Special Fund Raising Events
Other (please specify) ________________________________________________

Comments: ______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Signature of Volunteer ____________________________________ Date _______________

Interviewed by _________________________________________________