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 _________________________________

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 Stagework 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?_______________________________________________________

This 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.

Signature & Date __________________________________________

Please note that new members are entitled to receive a free financial analysis worth $500.00 or more. Phil Liptak our Business Manager will contact new members to arrange a meeting time, to review same. Phil Liptak Contact number 814-539-3833 or 814-539-5990

Department Of Human Resources

Laurel Highland’s Historical Village

APPLICATION FOR DIRECTOR

COMPATIBILITY QUESTIONNAIRE

A Note from the Founding Board of Directors

The purpose of this application and questionnaire is to enable the Laurel Highland’s Historical Village determine your qualifications, disciplines and interests. Satisfactory completion of this form does not constitute acceptance by the Laurel Highland’s Historical Village. It does indicate the degree of compatibility which exists between the applicant and the LHHV. An interview involving the candidate, must take place before any call or invitation may be issued or responded to by any applicant.

PERSONAL INFORMATION

Name ________________________________________________________________________________

Address

______________________________________________________________________________

Telephone _____________________

E-mail address ________________________________________________________________________

EDUCATIONAL BACKGROUND

High School attended:________________

Post Secondary________________________ Diploma/Degree

Schools attended

_____________________________________________________________________________

EMPLOYMENT BACKGROUND

Dates Position (last four positions) Address Phone#

_________ _________________________________________________________________

SKILLS BACKGROUND (Employment or other)

Dates Position

_________ _________________________________________________________________

HISTORICAL EXPERIENCE (Not as Employment)

_________________________________________________________________________________

CROSS-CULTURAL EXPERIENCE

List ethnic community and other activities or organizations in which you have participated in recent years.

_______________________________________________________________________________________________

_______________________________________________________________________________________________

ETHNIC AFFLILIATION(s)

Of what background(s) are you affiliated?___________________________________________________

____________________________________________________________________________________

Testimony:

: 1.)Please share the details of your personal interest in your chosen ethnic background(s)_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2.)Please explain the details of your crafts / skills as it applies to your chosen ethnic background(s)________________________________________________________________

___________________________________________________________________________

3.)Would you be willing to submit to a Criminal Reference check on the request of the LHHV? ____ yes ____ no

If no, please explain:___________________________________________________________________________

References: Names and addresses of three individuals with whom you have worked

___________________________________________________________________________________

____________________________________________________________________________________

CHARACTER REFERENCES

Please obtain a reference from three people in any of the following categories. Referees should be given a form along with an envelope address to:

Laurel Highland’s Historical Village Inc. N.P., c/o 172 Allbaugh Park Road, Johnstown, PA, 15909, attn: Human Resources Dept.

1. Employer (supervisor)

2. Neighbour (friend, co-worker)

Please name the person to whom we may send a request for a recommendation and evaluation from the Board endorsing your application. Please give the name of a person who would know you and your qualifications well enough to satisfactorily fulfil our reference requirement.

Name_________________________________________________________________________

Position: ______________________________________________________________________

Address: ______________________________________________________________________

______________________________________________________________________________

E-mail: _______________________________________________________________________

Date: _________________ Signature: _______________________________________

Please mail this completed form and your 3 reference forms to:

Laurel Highland’s Historical Village Inc. N.P.,

c/o 172 Allbaugh Park Road,

Johnstown, PA, 15909,

attn: Human Resources Dept.