Kawartha Lakes Historical Society 50 Victoria Avenue N., Lindsay, Ontario K9V 4G3 Tel: 705-324-3404 info@oldegaolmuseum.ca www.oldegaolmuseum.ca
Name: _________________________________________ Phone Number: __________________ Address: ________________________________City: ______________ Postal Code: _________ Email: ____________________________________ Are you 18 years of age or older: YES NO Emergency Contact Information: Name ___________________________________ Relationship: ______________________________ Phone Number: ____________________ Do you have any physical limitations which may affect your volunteer placement? Hearing Lifting Walking Standing Vision Other Experience: Work: _________________________________________________________________________________ _________________________________________________________________________________ Volunteer Involvement: _________________________________________________________________________________ _________________________________________________________________________________ Skills and Interest: _________________________________________________________________________________ _________________________________________________________________________________ Volunteer Service Area Desired (Please circle any preferred area(s) of interest): Office administration Tour Guide Fund-raising Data Input Building Maintenance Gardening
VOLUNTEER APPLICATION FORM
