JACK JOUETT ARCHAEOLOGY PROJECT

2015 VOLUNTEER APPLICATION

Return to: Jack Jouett House Historic Site, 255 Craigs Creek Road, Versailles, KY 40383
~Please Print Legibly!~
Name: _______________________________________________________________________________________
Postal Address: _______________________________________________________________________________
City: ______________________________________ State: _____________________________ Zip: ____________
Telephone/s: _____________________________________ E-Mail/s: ____________________________________
Archaeological Experience (if any): _______________________________________________________________
_____________________________________________________________________________________________
Your Age:

(Circle One)

Under 13

Do you have health insurance?

13-17

(Circle One)

YES

18 Or Older
NO

Please list any health conditions you would like for us to know about in the event of a medical emergency.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
List below two emergency contacts.
First Contact Name: ___________________________________________________________________________
Address: ______________________________________________________________________________
Telephone/s: __________________________________________________________________________
Relationship to You: ____________________________________________________________________
Second Contact Name: _________________________________________________________________________
Address: ______________________________________________________________________________
Telephone/s: __________________________________________________________________________
Relationship to You: ____________________________________________________________________
Which project activities would you like to participate in? (See descriptions on Volunteer Opportunities page.
Circle all that apply. Individuals under 18 must be accompanied by a parent or guardian at all times.)
Excavation

Archival Research

Artifact Processing

Document Transcription

Event Hosting

Exhibit Creation

Event Support
Do you have questions or suggestions to share with us? Please write them on the back of this page.