Friendly Visiting Volunteer Application

Friendly Visiting and Telephone Reassurance Volunteer Application

Thank you for your interest in becoming a team member of our Friendly Visiting and Telephone Reassurance program. Your contribution of time, compassion, and talent will touch a community of older adults far and wide.

To get started, please provide the information below and our team will be in touch with you shortly. Please note that all questions marked with an asterisk are required.

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
What is the best time to contact you?*
What is the best way to contact you?*
Have you ever been convicted of a crime?*
Are you able to pass an FBI and Department of Justice background check?*
Please list the name, phone number, relationship and years of acquaintance for three references below.*
How did you hear about this program?*
Have you had any previous experience as a volunteer or are you currently volunteering with another agency? If so, what is the name of the agency and the nature of your volunteer work?*
Have you had experience working with older adults? If yes, please describe:*
List any languages spoken, other than English, and indicate your fluency.*
Are you willing to commit to completing the orientation required and commit to attending at least six monthly training sessions provided by the program?*
Are you able to commit to visiting clients 1 – 2 hours a week?*
Are you able to commit at least one year and 60 hours of services to this program?*
Newsletter
- Yes, please subscribe me to your Newsletter.
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

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Friendly Visiting and Telephone Reassurance Volunteer Application