Brant Historical Society Volunteer Application Form

Name

Street Address

Telephone

Emergency Contact Name

Telephone

Are you under 18? If yes, please fill out the information below.

Date of Birth (MM/DD/YYYY)

Name of Parent/Guardian

Work Phone Number

Name of Doctor

Telephone

Do you have any special health concerns? (ie. allergies, etc.)

1. When are you available to volunteer?

Weekends	Weekdays	Evenings	Special Events
Summer	Winter	Fall	Spring

Comments

2. What areas of the Museum interest you? Check all that apply.

Cooking/baking	Gardening	Education Programs
Research	Computers	Facility Maintenance
Collections	Office Duties	Interpretive Tours
Sewing	Exhibits	Committees/Board
Craft Demonstrations		Special Events
Fundraising/Promotion

Other interests

3. What skills or experience do you have to offer the museum? Check all that apply.

Computer skills	Maintenance	Education Programs	Sewing
Library Skills	Research	Public Speaking	Clerical
2^nd Language	Writing	Education	Camps
Building/Tinkering		Marketing/Fundraising
Craft Skills. If so, what kind
Are you available to assist with special events?			Yes No

Other skills

4. Do you have access to a car?

Yes No Not Applicable

5. How did you hear about the volunteer program?

6. What do you hope to gain from you experience here? What are your personal goals for your involvement at the Museum?

Please list 2 references that we could contact. Please include their phone number and the nature of the relationship (i.e. employer, teacher etc.)

Name
Phone #
Relationship

Name
Phone #
Relationship

Note: Due to issues regarding the security of the collection, as well as contact with young children, references may be checked, you may be called for an interview or requested to complete a security check.

I hereby declare that the forgoing information is true and complete to my knowledge. I understand that a false statement may disqualify me from the Brant Historical Society's volunteer program, or result in my dismissal. Further, I permit the Brant Historical Society to contact the individuals that I have listed as references to ascertain my suitability as a volunteer.

I Agree

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Donate

In order for us to continue our mission, we need the support of compassionate people like you! There are many ways you can help!

Make a Cash Gift Donation
Donations can be made to the Brant Historical Society by cheque, major credit card, on-line. Donations can also be made to recognize someone's special occasion such as a birthday or anniversay.

To Mail a Donation please print and complete this Donation Card

and mail to:
Brant Historical Society
57 Charlotte Street
Brantford, ON N3T 2W6

To make an On-Line Donation using your credit card, click the icon below for your direct link to the Canada Helps website.

Brant Historical Society has our own donation area on this site that will guide you through the on-line giving process. you can donate a one-time gift, or enroll in a monthly giving program.

You will receive your income tax receipt directly from Canada Helps, issued to you through the e-mail address you provide to them, and the funds will be automatically forwarded to us.

The Canada Helps website is extremely secure, ensuring that your personal information cannot be read by others as it is transmitted over the internet.

Endowment Fund Donation
Your donation into our Endowment Fund is invested and the capital is kept in perpetuity to provide investment income for the Society.

Gifts of Securities
Consider a gift of securities like capital gains on stocks, bonds or mutual funds. All may receive special tax considerations when gifed to a charity.

Planned Giving
Consider a planned gift, such as life insurance, annuities, property and remainder trusts. These forms of gifts can play an important role in estate planning. To find out more about our planned giving program, contact our Executive Director, Treasurer or consuly your financial advisor.

For more information on how you can donate to the Brant Historical Society, please contact us:

Phone: 519-752-2483
Fax: 519-725-1931
E-Mail: information@brantmuseums.ca

The Brant Historical Society would not be able to operate without the continued and generous support of your donations. Thank you!

Hours of OperationSunday - Closed
Monday - Friday - 10am to 4pm
Saturday - 1pm to 4pm

57 Charlotte Street
Brantford, ON N3T 2W6

Phone: 519 752 2483
Fax: 519-752-1931
Email: information@brantmuseums.ca

Website designed & developed by TDG Marketing Inc.

The support of the Government of Ontario, through the Ministry of Tourism and Culture, is acknowledged.


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Brant Historical Society Volunteer Application Form