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:




License/Certificates:

Special Skills/Training/Hobbies:


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:


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.

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


Comments/Additional Information:








     

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