Mississippi State Capitol

Visitor Services

400 High Street | Jackson, MS 39201 | 601.359.3114

Volunteer Application (Age18+)

Please fill in as completely as possible. If a question does not apply to you, please mark "NA" in the blank.


Personal Information

Name:
  
                              

Address:

 

 
  
                                           

Phone:
{Day)
 
(Evening)
 
(Cell)
 

Email:
   
 

DOB:
  (year optional)
 

Emergency Contact

Contact Information:

 

 

Phone (list two):

 

 

Additional Information:



Work/Volunteer Experience (Current or Most Recent)









Employer:

Position:


Availability

Volunteer timeframes are available during two shifts at the front desk: 9 a.m. - 12:30 p.m.and 12:30 - 4 p.m. (Guided tours for the general public are at 9:30 a.m.and 11 a.m. and 1 p.m.and 2:30 p.m.)

You prefer to volunteer:





Available Monday Tuesday Wednesday Thursday Friday
Mornings
9 a.m. - 12:30 p.m.
Afternoons
12:30 p.m. - 4 p.m.


License/Certificates:

Special Skills/Training/Hobbies:


Why would you like to volunteer at the Mississippi State Capitol?


 

References:(not releated to you)

Mr./Ms/Dr.

 

Title and/or Organization:

 

Address:

 
City/State/Zip:

 

Daytime Phone:

 
Email:
   
 

Relationship:

 

Mr./Ms./Dr.

 

Title and/or Organization:

 

Address:

 
City/State/Zip:

 

Daytime Phone:

 
Email:
   
 

Relationship:

 

Comments/Additional Information: