Name ___________________________________________________________________________
Address __________________________________________________________________________
             ___________________________________________________________________________
Daytime Phone ______ - ______ - __________       Evening Phone ______ - ______ - __________
Email ____________________________________________________________________________
Education: Highest Grade Level or Degree Completed ____________________________________
Employment (check one): Currently Employed ___     Retired ___     Other ___
Previous Museum Experience: _______________________________________________________
If Volunteer is under 18 years of age, parent or guardian must sign below giving permission for minor to participate in volunteer activities at and for Clermont Historic Site.
___________________________

Please indicate those categories of volunteer work which interest you:
q Staffing a room for Holiday or Special Event Open Houses
q Giving House Tours for Adults
q Assisting with House Tours for School Groups
q Assisting with School Outreach programs
q Decorating the Mansion for the Holidays
q Gardening
q Giving / Leading Garden Tours
q Photography
 q Living History
q Museum Gift Shop
q Visitor Center Greeter for Group Tours and Special Events
q Research Library / Transcription
q Office or Clerical Work
q Creating and/or supervising craft projects for school groups
q Distribution of Flyers for Special Events

What qualifications, skills, or experience do you have that you would like to use in your volunteer work?
q Gardening / Weeding
q Grounds Keeping / Tree Removal
q Public Speaking / Lecturing
q Writing / Editing
q Cash Register Operation
q Computer Operation
q Sewing Clothing
q First Aid / EMT Training
q Group Leader / Supervisory
q Story Telling / Reading Out Loud
q Historical Research
q Gift Shop / Retail
 q Hand Tool Operation
q Power Tool Operation
q Librarian
q School Teacher
q Foreign Language ____________________
q Sign Language
q Photography
q Publishing
q Genealogical Research
q Fund Raising
q Play Musical Instrument
q Other ______________________________

Circle the months you would be available for work:
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Circle the days you would available for work: Mon Tue Wed Thu Fri Sat Sun

Circle the time of day you would prefer to work:     Morning     Afternoon     Evening