LHP Application

Living History Program Application Form

Please read the program information and requirements before applying.

You may submit this form online or fill it in, print it out, and mail to Angel Island State Park, P.O. Box 318, Tiburon, CA 94920, Attn: L.H.P , or fax to 415-435-0850. Email questions to AIELP@parks.ca.gov .

Name:
Work Phone:
School Name:
School Address:
City:		Zip:
Email:
Summer Contact #
School Year Timing:
Please rank your date choices below. Each choice must be in a different month.
First Choice:
Second Choice:
Third Choice:
To help us schedule you, please provide the following information:
Event:	Dates:
Beginning of School:
Winter Break:
Spring Break:
End of School:
Other IMPOSSIBLE Dates:
If year-round, what months off?
Comments:

Living History Program Application Form

Selected teachers will be notified by June 1. The form must be returned by May 1.