Skip to Main Content
Loading
Loading
Visit
About
Events
Rentals
Education
Collection
Home
Form Center
A
A
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Board of Directors Forms
COVID-19 Collecting Initiative
Development
Field Trips
HERstory Speaks Registrants
HERstory Submissions
History Speaks
Home Front 1940s Weekend
In the Business of History - Donating Your Business History to Naper Settlement
Peter E. Kroehler Residence Hall
Update Contact Information
Update Your Contact Information
Virtual Field Trips
Virtual History Speaks - A City at War
Volunteers
Wedding Inquiries
Wedding Wednesday Submissions
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
History Connector Intent Form
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
2019 History Connector Intent Form
Please submit by December 14, 2018
Name
*
Street Address
*
City, State
*
Zip Code
*
Primary Telephone Number
*
Email
*
If you are 18 or under, please provide the following information.
Date of Birth
School Name
Year of Graduation
Intent
*
Yes I will be returning as a History Connector for the 2019 season.
April - October commitment - two 3.5 hour shifts per month
June, July, August - four 3.5 hour shifts per month
No I am no longer available to take part in the History Connector program
Comments
Thank you for your service! We look forward to working with you in 2019.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow