Laurel Highlands Historical Village

Be Proud of Who You Are - Be Proud of Your Heritage

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Forms

Application for Members

Laurel Highland’s Historical Village

APPLICATION FOR MEMBERS

                                                                                        

A Note from the Founding Board of Directors

Recording keeping is vital to every organization; any information disclosed to LHHV will be kept private & used solely for the organization statistic purposes.

The purpose of this application is to enable the Laurel Highland’s Historical Village to keep on record those members who have joined, for the purpose of fulfilling those laws set forth by the federal, State, and local governments. All information will be used only for the purpose of Laurel Highland’s Historical Village.

 

PERSONAL INFORMATION

 

Name ________________________________________________________________________________                                                                                      

 

Address______________________________________________________________________________

 

Telephone  Res. _____/____________________Cell__/_________ ________Bus. _____/____________ _______

 

Age : Circle one: 18 – 30       31 – 41      42 –   52          53 – 60          60 or older

 

E-mail address ________________________________________________________________________

                                                                             

                                              

PLEASE CHECK THOSE THAT APPLY – YOU HAVE KNOWLEDGE IN THE FOLLOWING:

Musician Dance  Variety Entertainment  Wood Crafting &Carving   Glass Works  Costume Sewing / Design   Theater Acting  Stage work  Vending Services  General Labor   Carpenter  Electrician

Sales Clerk  Marketing  Public Relations  Teacher  Researcher  Secretary  Tellers  Clergy

History  Production  Play Writer  Architects  Design Engineers  General Contracting  Growers

Safety  Medical  Administrational Duties  Management  Fire & Rescue  Security  Landscaping

Crafting Accounting Museum work  Special Assistance Work  Art & Design  Cooking   Toys  Amusements  Amusement Rides  Animal Work  Horse Riding   Ethnic Knowledge/skills   Legal

Telemarketing Sales Storyteller  Modeling  Teaching  Musical Singer  Hair Stylist/Body Art

 

                                                                    ETHNIC AFFLILIATION(s)

 

Of what background(s) are you affiliated? I.e. Polish, French etc. _______________________________________

 

What committee(s) could you help with?_______________________________________________________

 

Signature __________________________ verifies your desire to become a member of LHHV, and you agree to the laws set forth in our by-laws. You also allow LHHV to use your  information for the sole purpose of LHHV activities.

Date_________________

 

 

 

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