The rehab volunteer application is only for pre-OT/PT/speech students.


In order to complete this application, you will need a valid e-mail address. Please be sure to type your e-mail address correctly, as it will be used as a communication tool in the application process.


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


Demographic Information


Second Language

Please identify any language that you speak fluently.


Emergency Contact


Education


Professional Reference

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


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.


Availability & Assignment Preference

Volunteers commit to one 3-4 hour shift per week for a minimum of one semester (or summer). On the schedule grid, please select all possible time slots that you are available to volunteer during the coming semester. We use these designated time slots to match volunteer availability to current hospital needs.

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


Interest In Volunteering


Learning Opportunities


Other Rehab Experience


School Requirement


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 DHS NetStudy 2.0 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.