Volunteer Application

Contact Information

Demographic (optional)

This information helps in funding our programs. This information is not required, and does not determine eligibility or acceptance into the Goodwill-Easter Seals volunteer program. Please check all that apply.

Tell us about your volunteer service:

Are you seeking volunteer placement as part of a work credit or school program (work experience, work-based learning, or life skills)?


Required Volunteer

A required volunteer is a person who is required by the county or program to fulfill a specified amount of hours volunteering. (Examples: community service, court-referred, housing requirement, etc...)

History of Residence

Volunteers working directly with program participants and/or confidential information require a background check. To complete a background check, please fill out the following information. If not, please skip.

Emergency Contact

Employment History

Does your employer provide compensation to you or the organization in which you volunteer?

By submitting this form, I authorize Goodwill-Easter Seals Minnesota to conduct a criminal background check in order to arrive at a decision regarding my eligibility to volunteer. I understand that any statements found to be false or if I omit any relevant information I could be disqualified from participating in the volunteer program. I understand I have the right to make a written request within any reasonable period of time to receive additional detailed information about the nature and scope of any such background. I hold Goodwill-Easter Seals free from any liability.

I also give my permission to contact the references I have listed and to perform a background check as necessary per my volunteer duties. The information I have provided is accurate and complete to the best of my knowledge. I have also received, reviewed and understand the policies, guidelines and expectations of Goodwill-Easter Seals.

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Goodwill Industries, Inc.-Easter Seals Minnesota is an Equal Opportunity Employer committed to creating a diverse workforce.

Goodwill Industries, Inc.-Easter Seals Minnesota will not discriminate against any volunteer based upon a person’s race, color, creed, religion, national origin, sex, marital status, disability, status with regard to public assistance, age, sexual or affectional orientation, familial status, ancestry, local human rights commission activity, citizenship, genetic information, protected veteran or military status or any other protected class.