Availability

Please answer based on the question above.
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. Do you have any health considerations we should be aware of for best placement?

Emergency Contact

By signing my name, I, the undersigned, certify that I am signing this document as the person whose signature is required, or an agent of the person(s) whose signature would be required who has authorized me to sign this document on his/her behalf, or in both capacities. I further certify that I have completed all required fields and that the information in this document is true and correct and in compliance with the applicable chapter of Minnesota Statutes. I understand that by signing this document I am subject to the penalties of perjury as set forth in Section 609.48 as if I had signed this document under oath. A typed name in the space for the signature is legally considered a signature under Minnesota Statutes, Sections 325L.02, clause (h) and 325L.07, clause (d).