Lgo
New User Details
Please create your desired User ID and Password above.
(User ID must be a valid email)
For help contact:
Essentia Health East Volunteer Services 407 East Third Street Duluth, MN 55805 (218)786-4420
Superior
Adult Volunteer Application
Volunteer Services Mission Statement
Volunteer Services is dedicated to provide the highest
quality of volunteer support to those we serve within the region
**Please advise us if any accommodation is needed to participate in the application process.**
Personal Information
Emergency Contact
Education and Work Experience
Placement Information
Please check below days and times you can volunteer:
References - Do Not List Relatives
Reference 1:
Reference 2:
___________________________________________________________________________________________________________________
I hereby authorize investigation of all statements contained in this application. I further authorize my reference permission to furnish Essentia Health East with facts and opinions as to my job performance, capabilities and desirability as a volunteer. I further release all persons whomsoever from any damage because of furnishing said information.
Volunteer opportunities are provided without regard to religion, creed, race, national origin, sexual orientation, age, gender, disability, marital status or status with regard to public assistance. Essentia Health East does not imply that you will be assigned a volunteer position and this application should not be construed as a contract or promise of a volunteer position.
Adult Volunteer Form 2016