Volunteer Application Form

Please complete this application form if you are interested in becoming a Basic Needs Inc. of South Washington County dba Basic Needs Thrift Shop volunteer. Once you complete the form, click the Continue button at the bottom.

Contact Information

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Demographics

Date of birth:

Gender:

Education:

Ethnicity:

T-Shirt size:

School:

Skills & Experience

In what areas do you feel you have moderate to excellent skill?

Availability

Please indicate the days and times you are usually available to volunteer.

Assignment Preference

The following volunteer assignments may currently be available. You may click the assignment names to learn more about that assignment. Use this list to rank your top three assignment choices.

Emergency Contact

In the event of an emergency whom should we notify?

First name:

Last name:

Home phone:

Work phone:

Relationship:

Employer

If applicable, you may optionally provide us with information on your current or most recent employer

Employer name:

Work phone:

OK to call here

Email address:

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.

Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.

Please enter a password that:

Is between 4 and 30 characters long
Contains both letters and numbers.

Password:

Confirm password:

How did you hear about Basic Needs?

How would you like to be appreciated?

I Agree

I understand and agree that submitting this application form does not automatically register me as a Basic Needs Inc. of South Washington County dba Basic Needs Thrift Shop volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering. I authorize the Minnesota Bureau of criminal apprehension to disclose all criminal history record information to Basic Needs Thrift Shop for the purpose of volunteering with this agency.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

I Agree