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⭐️ Winona Volunteer Services is hiring an Executive Director. Learn more about the position and how to apply here. ⭐️

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Volunteer Interest Form

Volunteer Interest FormVision Design

Volunteer Interest Form

"*" indicates required fields

Contact Information

Name*

First Middle Last

Address*

Street Address City State ZIP Code

Date of Birth*

MM slash DD slash YYYY

Primary Phone*

Email Address*

Interest

Referral Source*

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.*

Availability

When are you generally available to volunteer?

Frequency

How frequently would you like to volunteer?*

One Time

Weekly

Every Other Week

Monthly

Age

What age range are you?*

17 years & younger

18 years & older

Criminal History

Have you ever been convicted of a criminal offense?*

No

Yes

If Yes, please explain:*

Are you in need of community service/court mandated hours?*

No

Yes

If Yes, please tell us more:*

Prior Assistance

Have you received assistance from WVS in the past six months?*

Yes

No

If yes, please explain:*

Special Accommodations

Do you have health restrictions or require special accommodations?*

Yes

No

If yes, please explain:*

Preferences

Assignment Preference*

Check all that apply.

Clothes Shop

Food Shelf

Home Delivered Meals

Food Rescue

VITA

Are there other ways you can help?*

Emergency Contact

In the event of an emergency, whom should we contact?

Name*

First Last

Home Phone Number*

Work Phone Number*

Cell Phone Number*

Email Address*

Relationship*

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*

First Last

Phone Number*

Alternate Phone Number

Email Address

2. Name*

First Last

Phone Number*

Alternate Phone Number

Email Address

Please explain how you know each of the references you listed*

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 a 1PM at Winona Volunteer Services, 402 East 2nd Street. Winona, MN 55987.

You can park on 2nd Street or in our parking lot. Please come to the Office using the office entrance on 2nd Street and not the Clothes Shop entrance.

Please select an orientation date below:*

January 13

February 10

March 10

April 14

May 12

June 9

July 14

August 11

September 8

October 13

November 10

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With dedicated volunteers and partners, Winona Volunteer Services helps people address life’s challenges in a respectful and dignified manner.

Contact Us

402 E 2nd St.
Winona, MN 55987
(507) 452-5591
info@winonavs.org
Questions or Comments

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Clothes Shop & Donation Hours
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Hours

Food Shelf Hours
Food Donation Hours
Clothes Shop & Donation Hours
Coordinated Assistance Hours
Office Hours