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Name
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First
Middle Initial
Last
Today's Date
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Are you at least 18 years of age?
*
Yes
No
If no, how old are you?
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Main Phone
*
Email
*
Emergency Contact Name
*
Emergency Contact Phone
*
Reference Name
*
Reference Contact
*
Volunteer Availability (dates, hours, frequency)
SITE PREFERENCES
Check all that apply.
Mackinaw City
Colonial Michilimackinac
Old Mackinac Point Lighthouse
Dousman's Mill Historic Site
Mackinac Island
Fort Mackinac
Historic Downtown Mackinac
Mackinac Island State Park
PROGRAMS
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Fort Fright
A Colonial Christmas
Do you have a physical or mental condition that affects the work you can do?
*
Yes
No
Please explain:
Have you been convicted of a crime?
*
Yes
No
Date/Where?
*
Please Explain
*
Have you been convicted of a felony?
*
Yes
No
Date/Where?
*
Please Explain
*
Why do you wish to volunteer for Mackinac State Historic Parks?
*
What relevant talents and skills do you bring to the organization?
Have you ever been disciplined, suspended, or discharged from previous employment or volunteer work?
*
Yes
No
Please explain:
Acknowledgement
If volunteering, I will honor all Mackinac State Historic Parks (MSHP) volunteer policies and guidelines. I will be dependable and present during my assigned volunteer duties and times. I hereby authorize present and former employers, associates, schools, law enforcement agencies, military organizations, and/or other persons and organizations to provide MSHP with any information which may aid in determining my suitability for volunteer duties. I release those individuals and/or organizations contacted from all liability whatsoever for issuing the requested information, and hereby waive for right to receive written notice of any such information provided. I also hereby release MSHP, its affiliates, and employees from any and all liability and damages for requesting, releasing, and using information concerning me, my work, and performance record. The answers given on this volunteer application are in all respects true, complete, and accurate. I understand any false statements made, or upon discovery of such false statements or omissions, may result in my being removed from duties and park premises. I agree to hold harmless the State of Michigan and MSHP and its employees, volunteers, and/or representatives for all damages, claims, losses, or other liability due to personal injury or death or damage to property. I further acknowledge that I will assume responsibility for any damages I cause to any MSHP buildings, grounds, property, and facilities or the same of any visitor, representative, employee, and/or volunteer to the park.
Participation of Minors as Volunteers
Mackinac State Historic Parks encourages the involvement of minors throughout our programs. The following safety concerns and rules must be followed: A) Consent is granted on this form for any volunteers under the age of 18; B) The minimum age of the volunteer is 14; C) Any volunteers under 14 have a parent or guardian present.
Minor
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Your Name
Your Name
Your Name
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