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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Facility Rentals

Myrtleville House Museum is a fully restored, 1837 Georgian style home with beautifully sculpted gardens. Celebrate your special occasions in the shade of hundred year old trees, and amid centuries of history.

We offer several wedding and special event packages for both large scale and intimate sized parties.

Heritage Hideaway
Suitable for up to 300 guests in a lush outdoor setting.
Includes exterior location and photography fees. Catering, tent, tables, and chair rental is extra.

Cost: $300.00 (plus $300.00 refundable damage deposit).

Intimate Gathering
Suitable for up to 25 guests creating an intimate setting. Includes interior location and seats for guests.

Cost: $200.00

Extra Additions to Package:
Use of Historic Carriage for Photographs: $60.00
Use of Interior Driveshed for Refreshments: $50.00

Only one wedding will be booked per day. The museum is open to the public during regular hours so that suitable times can be chosen. Please note that the fees indicated are for the specific location and do not include the use of any other area of the museum.

For more information, contact us at 519-752-3216.

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