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Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB. Nombre | First name *
Segundo Nombre | Middle Name
Apellido(s) | Last name *
Nombre preferido | Preferred Name
Fecha de Nacimiento | Date of Birth *A valid date as MM/DD/YYYY (for example: 11/30/2015)
Número telefónico | Phone Number *For example, 123-456-7890
¿Habla español con fluidez? | Are you fluent in Spanish? *Sí | Yes No
¿Habla inglés con fluidez? | Are you fluent in English? *Sí | Yes No
Dirección | Street Address
Ciudad | City
Estado | StateAL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Código Postal | Zip Code
¿En qué ubicación le gustaría ser voluntario del programa YA!? | Which location would you like to volunteer at for the YA! program? *St. Paul Minneapolis
Si actualmente eres estudiante, ¿cuál es el nombre de tu escuela? | If you are currently a student, what is the name of your school? *I am not a student | No soy estudiante Augsburg University Bethel University Bethany Lutheran College Brown College Carleton College Century College College of Saint Benedict and Saint John's University College of St. Scholastica College of Visual Arts Concordia College (Moorhead) Concordia University, St. Paul Crown College Dakota County Technical College DeVry University Duluth Business University Dunwoody College of Technology Fond du Lac Tribal and Community College Gustavus Adolphus College Hamline University Hennepin Technical College Herzing University Immaculate Heart of Mary Seminary Inver Hills Community College Lake Superior College Luther Seminary Macalester College Martin Luther College Metropolitan State University Minneapolis College Minnesota North College Minnesota State College Southeast Minnesota State Community and Technical College Minnesota State University, Mankato Minnesota State University Moorhead Minnesota West Community & Technical College Mitchell Hamline School of Law North Hennepin Community College Northland Community & Technical College Northwest Technical College Pine Technical and Community College Ridgewater College Riverland Community College Rochester Community and Technical College Saint Catherine University Saint Paul College Saint Mary's University of Minnesota South Central College Southwest Minnesota State University St. Cloud State University St. Cloud Technical and Community College St. John's University St. Olaf College The Art Institutes International Minnesota University of Minnesota Crookston University of Minnesota Duluth University of Minnesota Morris University of Minnesota Rochester University of Minnesota Twin Cities University of Northwestern – St. Paul University of St. Thomas Walden University Winona State University Winona State University – Rochester Other | Otro
Otra escuela | Other School *
¿Qué estás estudiando? | What are you studying? *
¿Quién es su empleador actual o qué compañía u organización representa? | Who is your current employer or what company or organization do you represent? *3M Academy College Adler Graduate School Affinity Plus Federal Credit Union Allianz Life Amazon Ameriprise Financial Andersen Corporation Arctic Wolf Networks Augsburg University American Academy of Health and Wellness Anoka-Ramsey Community College Anoka Technical College Alexandria Technical & Community College Bethany Lutheran College Bethel University Bolton & Menk, Inc. Boston Scientific Bridge Realty LLC Bell Bank Bremer Bank Cargill Carlson Companies CHS Inc. Children’s Minnesota CliftonLarsonAllen LLP Coborn’s, Inc. College of Saint Benedict College of St. Scholastica Concordia College Crossfuze LLC Colle McVoy Citizens Independent Bank Credit Union 1 Dakota County Technical College Dunwoody College of Technology Delta Airlines Donaldson Company DeVry University Ecolab Electrical Builders Edina Realty Home Services Edward Jones Emerson Fairview Health Services Fastenal Frandsen Bank & Trust General Mills Graco Inc. Great Clips Great Place To Work H.B. Fuller Hamline University Hawkins, Inc. HealthPartners Hazelden Graduate School of Addiction Studies Hennepin Healthcare Hiawatha Academies Hormel Foods Honeywell Huntington Bank (formerly TCF Bank) IBM Insight Brewing ITT Technical Institute Jostens Kohl’s Kowalski’s Market Lake Superior College Life Time Lifetouch Luther Automotive Macalester College Mall of America Medica Medtronic Metropolitan State University M Health Fairview Mayo Clinic Minnesota Department of Human Services Minnesota Historical Society Minnesota Public Radio (MPR) Minnesota State University, Mankato Minnesota Timberwolves Minnesota Lynx Minnesota Twins Minnesota United FC Minnesota West Community & Technical College Minnesota State Community and Technical College (M State) Mortenson Construction North Memorial Health Northland Community & Technical College Optum Patterson Companies Polaris Inc. Post Consumer Brands Progressive Insurance Pineapple Express THC Beverage RE/MAX Results Riverland Community College Rochester Community and Technical College Red Lake Nation College Saint Mary’s University of Minnesota Securian Financial Group Sleep Number St. Catherine University St. Olaf University Saint Paul College South Central College Southwest Minnesota State University State of Minnesota Sun Country Airlines SICK USA Target Corporation Thrivent Financial The Toro Company U.S. Bank UnitedHealth Group University of Minnesota University of St. Thomas Volunteers of America MN Wilder Foundation Walmart Western National Insurance Group Wells Fargo Xcel Energy Por cuenta propia | Self Otro | Other
Otro | Other *
¿Tiene alguna habilidad o experiencia laboral que le gustaría compartir para ayudar a encontrar oportunidades de voluntariado adecuadas? | Do you have any skills or work experience you would like to share to help find suitable volunteer opportunities?
¿Por qué quieres ser voluntario(a) en CLUES y cómo crees que tus experiencias o habilidades pueden contribuir a nuestros programas? | Why do you want to volunteer at CLUES, and how do you think your experiences or skills can contribute to our programs ?
Nombre completo de contacto de emergencia | Emergency Contact Full Name *
Número de teléfono del contacto de emergencia | Emergency Contact Phone Number *
Relación con el contacto de emergencia | Relationship to Emergency ContactFamiliar | Family Amigo(a) | Friend Pareja | Partner Otro | Other
Foto de Perfil | Profile photo
Waiver
VERSION EN ESPAÑOL:
Marca aquí para confirmar que has leído y aceptado la Exención de Responsabilidad, Asunción de Riesgos y Acuerdo de Indemnización. Al hacerlo, renuncias voluntariamente a derechos legales.
Check here to confirm you have read and accepted the Release, Waiver of Liability, Assumption of Risk, and Indemnity Agreement. By doing so, you voluntarily waive legal rights. Enter your name here to serve as a digital signature:
VERSION EN ESPAÑOL:
Marca aquí para confirmar que has leído y aceptado la Exención de Responsabilidad, Asunción de Riesgos y Acuerdo de Indemnización. Al hacerlo, renuncias voluntariamente a derechos legales.
Check here to confirm you have read and accepted the Release, Waiver of Liability, Assumption of Risk, and Indemnity Agreement. By doing so, you voluntarily waive legal rights.
