PAWH (Pets Assisting with Healing) Volunteer Application

The PAWH volunteer application is for Registered Pet Partners teams.

In order to complete this application, you will need a valid e-mail address. Call us should this be an issue.

All items marked with a star * are required fields.

When you have completed the application, please click the "continue" button at the bottom of the page.

After submitting an application, you have 30 days to submit your complete immunization records to our offices. Incomplete applications will not be kept after this 30-day period.

Name and Address

First name:

Last name:

Street 1:

Street 2:

City:

State:

* Zip: *

Preferred phone:

Email address:

Today's Date:

Demographic Information

Date of birth:

Referral:

Race:

Career Interest:

Work Status:

Preferred Pronouns:

Emergency Contact Information

First name:

Last name:

Home/Cell phone:

Work phone:

Cell phone:

Relationship:

Professional Reference

Please provide us with contact information for a professional reference. This person can NOT be a family member.

Relationship to Reference:

First name:

Last name:

Home/Cell phone:

Work phone:

Email address:

Immunization Verification

By checking this box, you agree to provide evidence of immunity prior to volunteering at Children's Minnesota. Evidence of immunity is defined as written documentation of your complete immunization record: obtained via clinic record, laboratory result, and/or a written statement from your healthcare provider. You will be asked to provide this documentation if selected for a volunteer interview. Please refer to the "Volunteer Immunization Requirements" section on our Volunteer Services web page to print the form for your clinic to complete.

I Agree:

Pet Partners Certification

Please provide us with the expiration date of your Pet Partners certification. Ongoing maintenance of this certification is required of all PAWH volunteers.

Pet Partners Certification Expiration:

Availability

Typically, volunteers commit to one 2-hour shift per week. Should this not work for you, we happily offer flexible scheduling. On the schedule grid, please select all possible time slots that you are available to volunteer.

PLEASE NOTE: you may select more than one day, time, and hospital campus.

Interest in Volunteering

Why do you want to volunteer at Children's Minnesota?

Other Volunteer Experience

Please list any other past or current volunteer experiences.

Pet Information

Please tell us about the animal you would like to volunteer with.

Comments

Is there anything else you want us to know?

Volunteer Consent

By checking this box,

1. you affirm that you are over the age of 18.

2. you indicate that the information in this application is accurate.

3. you indicate your approval for us to verify references and complete a background check.

4. you verify that you are able to provide official, written documentation of your complete immunization record.

Children's Minnesota Volunteer Services department is not obligated to provide placement, nor are you obligated to accept the position offered.

Children's Minnesota is an equal opportunity employer and is committed to a diverse workforce.

I Agree