Please complete the application and hit the submit button at the bottom of the application. If you have not heard from us in two weeks, please call 763-581-3920 to follow up.


We keep your application in our system for one year so please do not complete another application if you have already submitted one in the last 12 months.


Application Information

Please complete this application form if you are interested in becoming a North Memorial Junior Volunteer. Once you complete the form, click the continue button at the bottom. All fields marked with * are required.



Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



Emergency Contact

In the event of an emergency whom should we notify?



Education

Please complete the following which best describes your education.



Work/Volunteer Experience

Please provide the name and address of your current or most recent employer if applicable.



Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.



Personal/Professional Reference

Please provide the names of an individual (not a relative) who may be contacted for a personal/professional reference.



Letter of Interest


How did you hear about our program?


Referral Program

If applicable, please list the name of the volunteer or employee who recommended our program to you.



I Agree

Thank you for taking the time to complete this application and to provide all the information that is requested.


By checking this box, you are indicating your parents/guardians know about and approve of your participation in the Junior Volunteer Program.


By checking this box you are indicating that the information in this application is accurate and correct to the best of your knowledge. I understand that volunteers will serve at will. North Memorial Health, solely at its discretion, shall determine who will serve as a volunteer and may dismiss a volunteer at any time with or without cause.


I also understand that this is not an application for paid employment.


Volunteer opportunities are provided without regard to religion, creed, race, national origin, age or sex.