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Volunteer Application
*Required
Name/Address:
*Name
*Address
*City
*State *Zip
*Date of Birth
*Contact Info:
Day Phone
Work Phone
Cell Phone
Email
Emergency Contact:
*Name
*Phone
Any hobbies or skills could you share with our residents?



How did you hear about Saint Therese?



When are you available?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What time of day?
Mornings
Afternoons
Evenings
How frequently would you like to volunteer?
Monthly
Weekly
 # of day per week
What type of jobs do you prefer?
Physical
Clerical
Visiting Residents
Spiritual Support
Department/Unit Assistance
Additional Questions or Comments:


Terms
  • All new volunteers over the age of 14 must complete a Criminal Background Check form to be sent in to the State of Minnesota, to ensure that you do not have a conviction for abuse or maltreatment of vulnerable adults or children.
  • Mantoux would be necessary if doing direct hands on volunteering over 10 hours per week.

I accept these terms

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