Volunteer Application Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Cell PhoneHome PhoneEmail* Prefered form of contact?*E-MailTextHow would you like to be contactedGenderMaleFemaleAge*Date of Birth Type of VolunteerYouthAdultYouth 14 - 17 | Adult 18 and overPurpose for Volunteer Work*Emergency ContactName* First Last Home PhoneCell PhoneWork PhoneReferencesPlease list two:NameRelationshipPhone Background Check RequestHave you ever been arrested for a criminal offense (exclude minor traffic violations or an offense finally settled in a Juvenile Court or under a Welfare Youth Offender Law)? If YES, please explain:Safety is the utmost concern at the Children’s Museum of Brownsville. As a result, a background check is done on all volunteers who are 18 years and older. This must be done in person. Please bring a valid ID and 2 forms will be filled out on site. AliasDriver's License #EducationSchool NameGrade LevelExtracurricular Activities (include sports, clubs, etc.):Previous Work ExperiencePrevious Volunteer ExperienceVolunteer Availability* Select All Weekday mornings Weekday afternoons Saturdays Sundays Morning 10am-1pm Afternoon 2pm-5pm Evening 5pm-9pm (Birthday Parties only) Availability Cont.*What specific hours and days are you available? Volunteer Hours*30-5050-100100+Summer Volunteer ProgramHow many volunteer hours are you trying to accomplish? Submission of this form authorizes the Children’s Museum of Brownsville to run a background check.
