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New York State Museum
Volunteer Application
| Name: |
| Address: |
| City: |
State: |
Zip Code: |
| Home Phone: |
Work Phone: |
| E-mail Address: |
| Date of Birth: |
Social Security Number: |
| (Parking Information:) |
| Make of Vehicle: |
License Plate Number: |
State: |
| In case of emergency, please contact: |
Phone: |
| Days of availability (please circle): |
Mon.
Tues. Wed.
Thurs. Fri. Sat. Sun. |
| Hours of Availability: |
| Volunteer Placement: Stark's Knob Project 2000 |
| Special Skills (list): |
| Signature: |
Date: |
| Please return this application to
The Adirondack School at least 24 hours before work
days. Thank you for helping! 5158 County Route #113, Greenwich, NY.
12834. Phone: (518) 695-5294. |
Print this form, fill out completely, and send to address above, or to address listed below.
For more information...
If you have questions, or wish to obtain more detailed information about this subject,
please contact:
Ed Landing
New York State Museum
Room 3107 Cultural Education Center
Albany, New York 12230
Email:elanding@mail.nysed.gov |
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