Volunteer at B.R.A.K.E.S.

Name:

Address:

City:

State:

Zip Code:

Email:

Date of Birth(MM/DD/YY):

Cell Phone:

The best time(s) for me to volunteer my time to B.R.A.K.E.S. are (check all that apply):

Weekdays AM Weekdays PM Weekends AM Weekends PM

I am interested in serving in these areas (check all that apply):

Driving Schools Special Events Office Advocate

Have you ever been convicted of or plead no contest or guilty to any crime(s) involving or against a minor? If yes, please explain:

YES NO

Explanation if you answered yes :

Do you have any criminal charges pending against you regarding any crime(s)? If yes, please explain:

YES NO

Explanation if you answered yes :

Have you ever been refused participation in any other programs? If yes, please explain:

YES NO

Explanation if you answered yes :

To ensure BRAKES is a safe place for families, employees, and volunteers, applicants may be subjected to a background check.

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Testimonials

Thank you for forwarding Emma's letter to me. It looked like she wrote straight from her heart and that is what is most important !!!........her handwriting is another story :-O Very honestly, I was immensely impressed by the amount of thought and effort that everyone at BRAKES put into the cour... Click to Read More!

-Brian K

First, let me say a HUGE thank you for creating the "Put On The Brakes" program. Our youngest daughter, Tessa, went through the training held last year in Irvine, CA. Because I wasn’t working at the time, we couldn’t afford Master Drive (the program we’d put our older daughter through) and a friend ... Click to Read More!

-Judi Chimits (and Bob)

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