Age Group (Check age range):

ADDITIONAL INFORMATION:

Which of the following volunteer activities interest you?

What days and times are you available to volunteer?

Do you have any physical limitations or health problems which will require consideration or special assignments?

Please list any special skills, hobbies, and interests that could help in matching you with clients:

VOLUNTEER APPLICATION

HELPERS “Helping Elders Live Proudly, Enjoyably, Responsibly and Safely”

PO Box 668
124 2nd Avenue, SE
Barnesville, MN  56514
218-354-7090
E-mail

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UnitedWay