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19716
Volunteer Interest Form
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Volunteer Interest Form
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Contact Information
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Interest
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Why are you interested in volunteering? Please list any previous experience, reasons for wanting to volunteer and/or what you hope to gain while volunteering.
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Availability
When are you generally available to volunteer?
Frequency
How frequently would you like to volunteer?
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One Time
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Age
What age range are you?
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17 years & younger
18 years & older
Criminal History
Have you ever been convicted of a criminal offense?
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No
Yes
If Yes, please explain:
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Are you in need of community service/court mandated hours?
*
No
Yes
If Yes, please tell us more:
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Prior Assistance
Have you received assistance from WVS in the past six months?
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Yes
No
If yes, please explain:
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Special Accommodations
Do you have health restrictions or require special accommodations?
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Yes
No
If yes, please explain:
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Preferences
Assignment Preference
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Check all that apply.
Clothes Shop
Food Shelf
Home Delivered Meals
Food Rescue
VITA
Are there other ways you can help?
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Emergency Contact
In the event of an emergency, whom should we contact?
Name
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Email Address
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References
Please provide two professional references we can contact about your application to volunteer. References will not be contacted until after your interview.
1. Name
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Phone Number
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Alternate Phone Number
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2. Name
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Alternate Phone Number
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Please explain how you know each of the references you listed
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I understand that this interest form does not automatically register me as a volunteer. I may need to complete a criminal background check (if 18 years of age or older) in determining my qualifications for volunteering. The information I provided on this application is accurate and current. I authorize WVS to verify this information and contact the references I listed as part of the volunteer screening process.
*
I understand that this interest form does not automatically register me as a volunteer. I may need to complete a criminal background check (if 18 years of age or older) in determining my qualifications for volunteering. The information I provided on this application is accurate and current. I authorize WVS to verify this information and contact the references I listed as part of the volunteer screening process.
I Agree
Step 3
Attending a volunteer orientation is required prior to actively volunteering. Select an orientation date below. All orientations are held at 1PM in the Chestnut Room at Winona Volunteer Services 402 East Second Street, Winona, MN 55987.
Please select an orientation date below:
*
February 13
March 12
April 9
May 14
June 11
July 9
August 13
September 10
October 8
November 12
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