RCHS Volunteer Application Form

Please complete this application form if you are interested in becoming a Volunteer with the Rock County Historical Society. Once you complete the form, click the submit button at the bottom.

A Coordinator will contact you back via email within three to five business days.

Name and address

Your application requires an email. All primary contact with the Rock County Historical Society happens via email, if you do not have an email address then please contact the Historical Society directly to speak with our volunteer coordinator. 608-756-4509

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

OK to call me here

Work phone:

OK to call me here

Email address:

Email Preferences

We like to keep our volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us. The Direct communication is used by coordinators or admins to communicate directly with you via email, not used for bulk messaging. The newsletter goes out on a weekly basis, the recruitment appeals are special messages when we have an event or position we need filled.

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

Direct Communications

Availability

Please indicate the days and times you are usually available to volunteer.

References

Please list one reference. They can be either professional or personal, but should not be members of your immediate family.

First name:

Last name:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

Relationship:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

* (year optional)

Gender:

Education:

Have you Volunteered with us before?:

Specific Interests

If you know which area you would like to help with, please select below the areas that best match your skills, interests, and availability.

Specific Interest Skills:

Volunteer Skills

Please select any and all that match the skills you would like to share with the Rock County Historical Society.

Other Skills

Use this area to list any other skills or abilities not listed above that you believe would be of assistance to the Rock County Historical Society.

If you have other skills not represented by the choices above please feel free to list them here.

Signature / Disclaimer

By checking below I certify that my answers are true and complete to the best of my knowledge. I understand that any false information or significant omissions will disqualify me from further consideration, and will be justification for my dismissal from the Rock County Historical Society Volunteer Program.

I authorize the Rock County Historical Society to perform a background check based on the personal data I have provided. I understand that if I elect to withhold my authorization, that my application to volunteer will be considered incomplete.

I Agree