Baltimore & Ohio Railroad Museum



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This form must be fully completed in order for you to be considered for a volunteer position at the Baltimore & Ohio Railroad Museum. All information provided is confidential. For additional information about this form, please call the Volunteer Office at 410-752-2490, ext. 216, or e-mail volunteer@borail.org.

Personal Information (fields with an asterisk * are required):


Title:
First Name:	*
Middle Name:
Last Name:	*

Nickname:

Address:	*
City:	*
State:	*
Zip:	*
County:

Home Phone:
Work Phone:
Other Phone:	(mobile)
Email:	*

Date of Birth:
Social Security Number:

Are you a Museum Member:	Yes No
If Yes, Member Level:

Education:

High School:
Degree:
Field of Study/Major:

Undergraduate Institution:
Degree:
Field of Study/Major:

Graduate Institution:
Degree:
Field of Study/Major:

Post Graduate Institution:
Degree:
Field of Study/Major:


Do you speak a language oher than English:	Yes No
If so, which?

Are you qualified in the use of sign language:	Yes No

Emergency Contact:

Name:
Relationship:

Address:
City:
State:
Zip:
County:

Home Phone:
Work Phone:
Other Phone:	(mobile)

Employment Information:
(If retired, please list your last place of employment)

Employment Status:	Employed Not Employed Not Employed at this time Retired Student

Employer:
	(or if student, school and major)
Address:
City:
State:
Zip:

Please list any previous or current volunteer activities:

Are you volunteering to fulfill a class requirement or for community service credit?
Yes No

If yes, what is the nature of the credit?

Do you have any friends or family working or volunteering at the Baltimore & Ohio Railroad Museum?
Yes No

If yes, who?

Areas of Opportunity:

Please rank your top three interests:
Administrative	Rail Operations *
Education and Interpretation	Restoration *
Facilities Maintenance	Catered Events
Library and Archives	Visitor Services

*Volunteer opportunities are limited and require specialized skills and prequalification.

What skills could you contribute in your volunteer service? (i.e. public speaking, computer skills, mechanical skills, model railroading, etc.)

Availability:

Please check:
	Sun	Mon	Tues	Wed	Thurs	Fri	Sat
*Mornings*
*Afternoons*
*Evenings*

If you are a new volunteer, how did you hear about volunteering at the Baltimore & Ohio Railroad Museum?

Please check:
Radio	Museum Mailing or Publication
Television	Museum Staff
Print Media	Museum Volunteer
Friend	Volunteer Organization
Museum Visit	Website
Museum Member	Other:

If you heard about volunteering from a current volunteer or staff member, could you
please provide us with his/her name?

Questionnaire:

Have you been known by any other name?
Yes No

Is so, please list:

Have you ever been an employee or volunteer of the Baltimore & Ohio Railroad Museum?
Yes No

Have you ever been placed on probation or had a complaint or petition filed against you as an adult or juvenile, excluding a traffic violation?
Yes No

Have you ever been dismissed from any other volunteer program?
Yes No

Have you ever been convicted of a misdemeanor/or DUI?
Yes No

If you answered "yes" to any of the above questions, please explain below. (Please note that a "yes" answer to any of the above questions may not necessarily exclude you from volunteering)

Baltimore & Ohio Railroad Museum 901 West Pratt St., Baltimore, MD 21223 Phone: 410-752-2490
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