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_________________