Northern Hills Training Center : : Spearfish, South Dakota

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Volunteer Profile

Northern Hills Training Center has been providing services and supports to people with developmental disabilities for over 30 years. Our four primary services include:

residential services
prevocational/vocational services
medical services
service coordination

Our residential services and prevocational/vocational services offer a variety of different settings ranging from group to community settings.

Thank you for your interest in volunteering with our organization. Please complete and submit the form below.

Name:
(Last)
(First)
(SSN)
Birthday (month/day/year)
Address:
(Street)
(City)
(State)
(Zip)
Home Phone:
Work Phone:
E‐Mail:
Current Employer:
Position:
Past Employer:
Position:

I AGREE TO NORTHERN HILLS TRAINING CENTER PERFORMING A BACKGROUND CHECK ON ME.

VOLUNTEER OPPORTUNITIES

Please indicate the activities in which you would like to be involved. The Recreation/Leisure activities may be one‐to‐one activities or with a small group of people supported.

FUNDRAISING EVENTS

Annual Chili Feed
Holiday Dinners
Frisbee Disc Golf
Run/Walk Events

OFFICE & CLERICAL ACTIVITIES

Data Entry
Office Assistant
Photography/video
Thrift Store

RECREATION & LEISURE ACTIVITIES (A short orientation training will be required prior to start of volunteering)

Adopt‐A‐Highway Activities that you would like to share
Church/Religious activities with a person supported:
Community Activities…plays, concerts, etc.
Computer Skills (Activity to share)
Crafts (Activity to share)
Fishing (Activity to share)
Gardening (Activity to share)
Going out for coffee or meals (Activity to share)
Going to the library (Activity to share)
Going to the movies (Activity to share)
Hiking
Meals on Wheels
Parties
Playing the piano
Reading
Special Olympic chaperone
Special Olympic coach
Swimming
Walking

Availability

Daily
times a week
times a month

Preference

Monday
	Mornings
	Afternoons
	Evenings

Tuesday
	Mornings
	Afternoons
	Evenings

Wednesday
	Mornings
	Afternoons
	Evenings

Thursday
	Mornings
	Afternoons
	Evenings

Friday
	Mornings
	Afternoons
	Evenings

Saturday
	Mornings
	Afternoons
	Evenings

Sunday
	Mornings
	Afternoons
	Evenings

Physical Limitations (lifting, standing, sitting, etc) Special Needs (wheelchair accommodations)

Please describe your volunteer history:

I want to volunteer for Northern Hills Training Center because:

What unique skills will you bring to Northern Hills Training Center?

How did you hear about us?

Please provide the name and contact information for 3 references:

Reference #1
Name:
Address:
(Street)
(City)
(State)
(Zip)
Phone
E‐mail

Reference #2
Name:
Address:
(Street)
(City)
(State)
(Zip)
Phone
E‐mail

Reference #3
Name:
Address:
(Street)
(City)
(State)
(Zip)
Phone
E‐mail

THANK YOU AGAIN FOR YOUR INTEREST IN NORTHERN HILLS TRAINING CENTER.

Northern Hills Training Center : : 625 Harvard Street : : Spearfish, SD 57783 : : Telephone: 605-642-2785 : : click here to email us

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