volunteer form | Interfaith Volunteers

Interfaith Volunteers
info@interfaithvolunteers.org
PO Box 64, Deerwood, MN 56444
218-820-7454

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We are so glad you want to volunteer! Please fill out the application below, and hit submit! We will be in touch 🙂

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Your Name *

First

Middle

Last

Maiden, Alias, or Former Namer

I Auto valid

Address *

Parish/Congregation

Date of Birth *

Phone (Home)

Phone (Cell) *

Email *

I am willing to provide *

Transportation/Rides (local)
Friendly/Companionship visits
Ramp Building
Minor Home Modification

Do you have a valid Drivers License? *

Yes
No

If yes, license number: *

Auto Insurance Company *

Policy Number *

Has your license ever been revoked? *

Yes
No

Have you ever been convicted of a crime? (other than a minor traffic violation) *

Yes
No

If yes, please explain

Do you have a preferred time to volunteer?

How often would you like to volunteer?

I CANNOT volunteer on these specific days

MONDAYS
TUESDAYS
WEDNESDAYS
THURSDAYS
FRIDAYS
SATURDAYS
SUNDAYS

Best phone number to call:

Social Security Number (optional)

Sex (M or F) *

I understand that a criminal background check will be performed to be considered as an Interfaith Volunteer. *

I consent

I authorize the Minnesota Bureau of Criminal Apprehension to release all criminal history record information to Interfaith Volunteers for the purpose of evaluating my application to volunteer with this organization. This authorization will expire one year from the date of my signature. *

I consent

Signature and Date *

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