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Essentia Health-West

Contact: 

Kerri Anderson

kerri.anderson@essentiahealth.org


Volunteer Services

3000 32nd Avenue S.

Fargo, ND 58103

(701) 364-8898
 

Adult Volunteer Application

NOTE: For everyone's safety, Essentia Health requires its volunteers to be fully vaccinated against COVID-19 prior to beginning to volunteer with us.  

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
Placement Information
We require a weekly commitment for a minimum of 3 months
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 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 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 2020