Volunteer

As a volunteer at St. Luke’s, your special talents or skills can make a positive difference in someone’s life. In addition to positively impacting residents’ lives, volunteering provides opportunities for you to build self-esteem and confidence and experience that can be included on a resume or job application.

Volunteer opportunities include , but are not limited to: one-to-one resident visits to play cards or games; van outing assistant; hair-setting and nail-polishing; providing entertainment, either singing or playing a musical instrument; or dancing. If you have a talent or skill to offer, please include that on your application.

For more information about volunteering at St. Luke’s, please contact:

Joyce Decker, Activity Director, by phone (701) 483-5000 or by email at joyceD@stlukeshome.com.

Online Volunteer Application

Volunteer Application

Step 1 of 2

Volunteer Application
Applicant's Name (Print)
First: Initial: Last: Preferred:
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Notify in Case of Emergency
Name
First: Initial: Last: Preferred:
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employment/Volunteer Experience
Employer
First Last
Position

Dates:

From	To

Employer
First Last
Position

Dates:

From	To

Employer
First Last
Position

Dates:

From	To

Hobbies, Skills, Talents, Special Interests, Special Training
(Check all that apply)
Volunteer for:
- Outings
- Special Events
- Mail Distribution
- Letter Writing
- Calendar Activities
- Special Friend
- Activities of Daily Living
Other:
Schedule Preferred
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
If you are 17 years old or younger, please bring a permission letter from a parent or guardian
Signature of Applicant
Date
MM slash DD slash YYYY
Activity Director
Date
MM slash DD slash YYYY
Reprinted with permission from Horizon/CMS Healthcare Corporation

Operational Policy and Procedure Manual

© 2001 MED-PASS, Inc. (Revised April 2008

How to apply to be a St. Luke's Volunteer

Complete the online Volunteer Application form and click the SUBMIT button, OR
Download the Volunteer Application. Complete and deliver in-person or by mail to:

Joyce Decker, Activity Director
St. Luke’s Home
242 10th Street W.
Dickinson, ND 58601

Contact Us

Call Now Button

Day,	Week,	Month,

Volunteer

Volunteer Application

Step 1 of 2

Volunteer Application

Employment/Volunteer Experience

Hobbies, Skills, Talents, Special Interests, Special Training

Schedule Preferred

Volunteer Services Questionnaire

How to apply to be a St. Luke's Volunteer

Contact Us