Event Volunteer Application Form
Thank you for volunteering for a Saint Therese event! Please complete this application and you will be contacted by a Volunteer Services team member with further event information and details.
Volunteer or Group Leader Contact Information
First name:
*
Last name:
*
Title:
Choose
Dr.
Fr.
Miss
Mr
Mr.
Mrs.
Ms.
Rev.
Sr.
Group name:
Street 1:
*
Street 2:
City:
*
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Zip:
*
Preferred phone:
*
Work phone:
Alternate phone:
Email address:
*
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
*
(year optional)
Event Name
Which event are you applying to volunteer for: Golf Classic (Medina), Golf Open (Woodbury), Saint Therese Foundation Gala, or Saint Therese of New Hope Family Picnic? Not sure? Give us your best description and we'll figure it out!
Group Demographics (if applicable)
We'd like to get to know your your group. Are you affiliated with a school, a corporation or other organization? What is the group mission? What are the goals or outcomes you are hoping to achieve through volunteer service at Saint Therese?
Group demographics (if applicable)
What is the group size? How many adults and how many youth? If youth are involved, what is the age range?
Availability
Is your best availability morning, afternoon, evening, all day?
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Morning:
Afternoon:
Evening:
Interests:
Arts and crafts
Aviary (birds) care
Beauty salon assistance
Book club
Companionship/Visiting
Cooking/Kitchen Assistance
Cycling Without Age
Dining services
Event assistance
Games and activities
Gardening
Gift Shop
Hospitality
Job shadow experience
Library service
Maintenance
Mass escort/companion
Memory care
Music (entertainment or therapy)
Office assistance
Outing assistance
Palliative care/hospice care
Pastoral care
Pen Pal Program
Pet therapy
Pharmacy assistance (New Hope only)
Photography
Receptionist assistance
Rehab assistance
Saint Therese Auxiliary (New Hope only)
Sewing/Quilting/Knitting/Crochet
Special Events
Technology assistance
Transportation
Additional Information
Please share any additional information that you feel could be helpful to us when determining a volunteer placement including any physical limitations or restrictions.
Emergency Contact
Who should we contact in case of an emergency?
First name:
*
Last name:
*
Preferred phone number phone:
*
Alternate phone:
Relationship:
Choose
Aunt
Brother
Cousin
Co-worker
Daughter
Employer
Family Member
Father
Foster Parent
Friend
God Daughter
Grandfather
Grandmother
Guardian
Mother
Neighbor
Nephew
Other
Parents
Partner
Pastor
Priest
Residential Supervisor
Retired
Significant Other
Sister
Son
Son-in-Law
Spouse
Supervisor
Teacher
Youth group leader
We'd Like to Know...
*
How did you hear about us?:
AARP Create the Good
Catholic Spirit
Community Thread
Facebook
Family member or friend was a resident
GoldPASS
Hands On Twin Cities
I am a Saint Therese tenant
Live nearby
MN Council of Nonprofits
Online scholarship search
Other
Parish/Church
Saint Therese employee
Saint Therese volunteer
Saint Therese website
School/Teacher
Twitter
VolunteerMatch.org
Word of mouth
Workplace
Email
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.
What kinds of email would you like to receive?
Volunteer News
Important news to keep you informed about Volunteer Services.
Saint Therese News
News about what's happening at Saint Therese.
Schedule reminders
Handy reminders to help you remember when you're scheduled to volunteer.
Next Steps...
Thank you again for volunteering for a Saint Therese event! Your application will be reviewed and you will be contacted by a member of our volunteer services team with further event information. We look forward to having you join our event team!
I Agree
I agree to indemnify and hold harmless Saint Therese, its employees, volunteers or agents from any and all claims or causes of action that may arise out of performance of my duties as a volunteer. I also understand that I am participating in activities that have a potential risk of injury and waive Saint Therese of any liability. I agree that my name, photograph, or video image may be used for any reason by Saint Therese and their sponsors. This is a complete release, discharge and waiver of any and all actions or causes of action against the entities and persons set forth above and the offices, agents, employees, and volunteers of those entities.
I understand that as a condition of participation in this program that I may be required to provide the following: a Criminal Background Check, a Tuberculin Skin Test, reference checks, a Department of Motor Vehicles inspection card and a certificate of auto insurance. Failure to cooperate or unsatisfactory results may result in withdrawal of an offer to participate in this volunteer program.
I authorize Saint Therese to investigate all of the information contained in this application. Any persons or organizations named are authorized to provide information regarding my volunteer history, character, and qualification and they are hereby released from all liability for providing such information.
I understand that there will be an interview prior to being accepted as a Saint Therese volunteer and I will be expected to complete the required training for Saint Therese volunteers.
I Agree
Continue