Please complete this application form if you are interested in becoming a volunteer with The ALS Association, Minnesota/North Dakota/South Dakota Chapter.

**Interested in our Family Assistance Program (FAP)? We do have an 18-month waiting period for those who've experienced a close loss (spouse/partner, immediate family member, best friend, etc.) to allow you the time to process your own grief journey. Family members of those currently being served by the Chapter are also not eligible for Family Assistance volunteer opportunities. 

These restrictions apply to FAP only: you are welcome to apply for event or administrative volunteer opportunities at any time.

If you have questions about The ALS Association, volunteering, or submitting this application, please contact Jenna Van Proosdy, Volunteer Coordinator, at 612-455-6052 or jenna@alsmn.org.


Contact Information


Demographic Information

This optional demographic information will help us better understand the makeup of our volunteers.



Interest


Volunteer Opportunities

Which volunteer opportunities are of interest to you? Please check all that apply.



Family Assistance Program

If you are interested in becoming a family assistance volunteer, please check everything you would be willing to help a family with.



Time Commitment

When are you generally available to volunteer? How frequently would you like to volunteer?



Skills and Experience

What languages can you converse in? Please check the skills you possess and explain any previous volunteer experience you have.



Specializations

Some of our volunteer positions require specialized skills or experience. Please check all that apply.



Emergency Contact

In the event of an emergency, whom should we contact?



References

Please provide two professional references (previous employers, volunteer supervisors, professors, neighbors, etc: should not be family members or significant others) we can contact about your application to volunteer. References will not be contacted until after your interview.



Confirmation

The information I provided on this application is accurate and current. I authorize The ALS Association to verify this information and contact the references I listed as part of the volunteer screening process.