Museum Volunteer Application

ABOUT ME
MY PREVIOUS VOLUNTEER EXPERIENCE
MY SPECIAL EDUCATION OR OTHER QUALIFICATIONS
REFERENCE #1 Please submit a professional reference (work associate, teacher, etc.)
Professional Reference Name *

First Name Last Name
Professional Reference Relationship *
Professional Reference Company / Organization
Pro Reference Work Phone

- Area Code Phone Number
Pro Reference Cell Phone

- Area Code Phone Number
Notes about My Professional Reference
REFERENCE #2 Please submit a personal reference (not a family member or museum board member)
Personal Reference Name *

First Name Last Name
Personal Reference Relationship *
Pers Reference Home Phone

- Area Code Phone Number
Personal Reference Cell Phone

- Area Code Phone Number
Notes about My Personal Reference

PRIMARY PERSON TO NOTIFY IN CASE OF EMERGENCY
Emergency Contact - Name *

First Name Last Name
Emergency Contact - Relationship *
Emerg Contact - Best Phone *

- Area Code Phone Number
Emergency Contact - E-mail
Notes about emergency contact
GENERAL QUESTIONS OR COMMENTS
AGREEMENT AND SIGNATURE
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions or other misrepresentations made by me on this application may result in my dismissal.
Applicant's Signature. If you are under 18 years old, a parent or guardian must complete the next section. *
Parent/Guardian approval signature. To be completed by the parent or guardian only if applicant is under 18.
Parent/Guardian Name

First Name Last Name
Parent/Guardian Date Signed

- Month - Day Year
Parent/Guardian E-mail
We will email you a copy of this form.
Parent/Guardian Phone

- Area Code Phone Number
OUR POLICY

It is the policy of this organization to provide equal opportunities without regard to race, ethnicity, religion, national origin, gender, sexual preference, age or disability.

When you click the Submit button below, a copy of your form entries will be emailed to the applicant and parent/guardian if applicable. You may also print the form.

Thank you for completing this application. Should you have any questions, please feel free to contact us.
Marin Museum of Bicycling and Mountain Bike Hall of Fame
1966 Sir Francis Drake Blvd. | Fairfax, CA 94930
415-450-8000 | volunteers@mmbhof.org | www.mmbhof.org
Last updated 11/16/16 sp11/4/16
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