Volunteer Application

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone
Home Phone
Email*
Prefered form of contact?*
How would you like to be contacted
Gender
Age*
Date of Birth
MM slash DD slash YYYY
Type of Volunteer
Youth 15 - 17 | Adult 18 and over
Purpose for Volunteer Work*
Emergency Contact
Name*
First Last
Home Phone
Cell Phone
Work Phone
References
Please list two:
Name Relationship Phone
Background Check Request
Have 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.
Alias
Driver's License #
Education
School Name
Grade Level
Extracurricular Activities (include sports, clubs, etc.):
Previous Work Experience
Previous Volunteer Experience
Volunteer 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*
How many volunteer hours are you trying to accomplish?
Submission of this form authorizes the Children’s Museum of Brownsville to run a background check.

Name	Relationship	Phone

Emergency Contact