LOUISIANA STATE ARCHIVES
Louisiana State Archives
Research Library
Volunteer Application
Name: ________________________________________________________________________
Address: _____________________________________________________________________
____________________________________________________________________
Home Phone: _________________________ Work Phone: ___________________________
E-mail Address: ________________________________________________________________
Previous Employment and Volunteer Experience:
List present or most recent experience first, including the name of your supervisor and a telephone number.
Name of Business or Organization: _________________________________________________
Address: ______________________________________________________________________
Name of Supervisor: __________________________ Telephone Number: _________________
Duties: _______________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Date of Employment: __________ to __________ Paid Employment: YES NO χ
Name of Business or Organization: _________________________________________________
Address: ______________________________________________________________________
Name of Supervisor: __________________________ Telephone Number: _________________
Duties: _______________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Date of Employment: __________ to __________ Paid Employment: YES NO χ
Name of Business or Organization: _________________________________________________
Address: ______________________________________________________________________
Name of Supervisor: __________________________ Telephone Number: _________________
Duties: _______________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Date of Employment: __________ to __________ Paid Employment: YES NO χ
Education: (circle last completed)
GED / High School / Some College / College Degree / Graduate Courses (Degree)
List Degree if College Graduate: __________________________________________________
List Special Skills, Training or Education: __________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Check Area(s) of Interest:
χ Shelving
χ Vital Records Data Entry
χ Assisting Patrons
χ Answering Phones
χ Other _______________________________________
List Days & Times Available: ____________________________________________________________________________
____________________________________________________________________________
In Case of Emergency Notify:
Name: _____________________________________________
Phone Number: ______________________________________
Have you ever been convicted of a felony? YES χ NO χ
If yes, please give a brief explanation (offense, date of offense, place and sentence):
___________________________________________________________________________
References:
Please list two people (employers, supervisors, teachers or other non-relative) we may contact for a reference.
Name: _______________________________________ Phone: ________________________
Name: _______________________________________ Phone: ________________________
I certify that the answers contained in this application are true and complete to the best of my knowledge. My volunteer service is conditional upon completion of the application and verification of the references. If my offer is accepted, I will not be entitled to compensation for any services I provide. I understand by volunteering, I am not guaranteed any special consideration for any future permanent job positions with the Louisiana Secretary of State, should I ever apply for one.
Signature of Volunteer Applicant: ______________________ Date: ____________
Thank you for your interest in volunteering at the Louisiana State Archives. Your application will be directed to the library’s volunteer coordinator. Should a position matching your skills and interests be available, we will contact you for an interview. If however, we are unable to find a suitable match, we will notify you and file your application for future reference.
Contact or Send to:
Research Library Administrator
Archives Division
Secretary of State
Phone 225.922.1196
Fax 225.922.0433
Email library@sos.
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