Cybrarium Volunteer Application

Name

First Name

Last Name

Email

Please confirm we have permission to email you.

Primary Phone

Dial Code

Phone Number

We need you to check here so we have your permission to call you.I am happy to receive text (SMS) messages on this number.

Birthdate

See below if you are under 18 years old.

Day

Month

Year

Emergency Contact

Name

Relationship

Email Address

Phone Number

Have you ever been convicted of an offense other than a minor traffic violation?

A background check will be conducted for any candidates selected to be volunteers.

Yes

For Students and Volunteers Under 18

You must be at least 14 years of age to volunteer, unless accompanied by an adult at which you must be at least 12. If you are under the age of 14 you must also provide a letter containing parent approval to volunteer.

If you are under the age of 14 are you able to have an adult accompany you?

Yes

I'm over 14

Are your volunteer hours a requirement for school?

Yes

About Homestead Cybrarium

To enrich lives, build community, and foster success by bringing people, information, and ideas together.

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Homestead Cybrarium

80 West Mowry Drive

Homestead

Miami-Dade

United States

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