District of Columbia
Please list any special considerations (i.e. physical or medical) that we should be aware of:
Please list places where you have served as a volunteer:
How did you learn about volunteering with us?
Current or Most Recent Employment
Are you presently attending school?
If so, will you receive academic credit for your volunteer work?
Highest Degree Attained/School
Have you ever been convicted of an offense for which a pardon was not granted?
Availability for Volunteering
Less than 10 hours per week
More than 10 hours per week
Why do you wish to volunteer for the Minnesota Brain Injury Alliance?
What skills, interests, hobbies or experiences do you have that may help us place you?
Why types of volunteer jobs or activities interest you?
Do you have a brain injury?
If so, how did you receive your injury?
Please read the following:
Volunteers are considered for placement without regard to actual or perceived race, color, religion, sex, national origin or ancestry, age, disability, veteran status, sexual orientation, marital status, status with respect to receipt of public assistance or any other basis protected by federal, state or local law.
I acknowledge that all statements made on this application are true, complete and correct to the best of my knowledge and belief. I also understand that falsification of this application can disqualify me from consideration or result in dismissal upon discovery. I understand that submitting this information does not guarantee my acceptance into the volunteer program, and that assignment of volunteer work is based on assessments made by Minnesota Brain Injury Alliance staff. I understand that as a volunteer, I will be required to abide by all rules and regulation of the Minnesota Brain Injury Alliance.
Does two plus one equal the color red?
Check if yes
Please call 612-378-2742 or 800-669-6442 with any questions. Thank you.