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

I want to thank everyone at BRAKES for yesterday's Raleigh event. I believe the skills, knowledge, and confidence the kids gained we will make them better and safer drivers. Please pass along my sincere thanks to Matt, Doug and everyone who is involved with this valuable program.... Click to Read More!

-Tim

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