Volunteer Application - Children's Museum of Brownsville

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

Type of Volunteer

Youth 14 - 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.