Volunteer Application

Thank you for your interest in volunteering with Jeremiah Program. You can apply by downloading the PDF application and returning it by fax or mail, or you can complete the online form below. This application help us match your talents and interests with the location where you would like to volunteer.

Upcoming Minneapolis-Saint Paul Volunteer Orientation Sessions
The Minneapolis-Saint Paul campuses will be holding volunteer orientation sessions on the following dates. Please make sure you complete an application and contact the Volunteer Manager prior to attending a session:

November 15, 2014 – 9-11:30 a.m., Minneapolis campus
November 19, 2014 – 2-4:30 p.m., Saint Paul campus
December 20, 2014 – 9-11:30 a.m., Minneapolis campus

Download application forms:

Volunteer Individual Application

Volunteer Background Check Release Form

Volunteer Group Application

Please compete and return by mail, fax, email or in person to:

Jeremiah Program
Nichole Salaam, Volunteer Manager
932 Concordia Avenue
Saint Paul, MN 554104
Direct (651) 332-5006
Fax (651) 332-5011
nsalaam@jeremiahprogram.org

Online Volunteer Application

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EMERGENCY CONTACT

EMPLOYMENT & EDUCATION INFORMATION

INTERESTS & PREFERENCES

BY SUBMITTING THIS APPLICATION, I:
- Give my permission to Jeremiah Program to conduct a background check at the Department of Human Services, as required for service.
- Acknowledge that my volunteer service to Jeremiah Program may involve some risk of physical injury, and release Jeremiah Program, their employees and agents from all claims or causes of action arising from accident or injury that may occur while I am volunteering.
- Agree that Jeremiah Program may use photographs and/or videos of me for publicity purposes.
- Agree that any materials or creative works developed by me as a volunteer shall remain the sole property of Jeremiah Program.
- Acknowledge my understanding that Jeremiah Program staff has the right, in its sole discretion, to place or not place me in a volunteer position.