Volunteer Registration Form

Volunteer Registration Form

Serving Mahnomen, Hubard, Becker, Otter Tail & Wadena Counties 1125 West River Road Detroit Lakes MN 56501 | 1-888-458-1385
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth

MonthDayYear
Date
Are you a Veteran
Sex:

MaleFemaleRather not specify
Do you have any physical limitations or medication conditions that would affect your ability to volunteer at certain sites (if yes please explain)
I am interested in volunteering with:

Please check any that apply
Children

School ProgramsHead Start ProgramsOutreach ProgramsReading to ChildrenCards/Games
Seniors

Meals on WheelsNursing Home VisitorsDriving to AppointmentsShopping/errandsWorking with Veterans
Outdoor Activities

GardeningParks/Wildlife RefugesOdd Jobs/Handy Man
Clerical/office Work

Answering PhonesFiling/paperworkTax PreparationThrift Store
Community Needs

Library SupportMuseum SupportTutoring/Adult EducationComputers/TechnologyFood Distributions
Special Projects

Sewing & QuiltingCraftsMusic & EntertainmentSpecial One-time eventsOther
Hours per week you'd be interested in volunteering:
Emergency Contact: Name & Phone Number
Other Important Information:
Valid Drivers License:

YesNo
Signature

Clear
Date

MonthDayYear
Date
Age
Should be Empty:

I am interested in volunteering with: