PERSPECTIVES, INC.
 VOLUNTEER APPLICATION
Page 2
Fill out this form online, print off each page, sign it, and fax or mail it in.
 
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REFERENCES: Please list three non-relative references. References will be contacted by mail.
Name:
Phone:
Address:
City:
State:
Zip:
Relationship:
Name:
Phone:
Address:
City:
State:
Zip:
Relationship:
Name:
Phone:
Address:
City:
State:
Zip:
Relationship:
 
AGREEMENT FOR VOLUNTEERS

I verify that the information on this application is true, complete and correct, and I understand that if it is not, I am disqualifying myself for a volunteer position.

I agree to hold Perspectives, Inc. harmless for any possible injuries that might result from my participation in volunteer activities.

I authorize the above references to give Perspectives Inc. any pertinent information they may have and authorize investigation of all statements contained herein.
Signed:
Date:


A criminal background check will be conducted on all applicants, as well as a license background check, if you are providing transportation.

Please return this form to: Attention Volunteer Director, Perspectives, Inc., 3381 Gorham Ave., St. Louis Park, MN 55426. If you have any questions, please call 926-2600.x-16

PROBLEMS? CALL 952-926-2600 x-16