Volunteer Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Are Texts Okay? Yes No Email * Are you a Veteran? Yes No Are you 55+ years old? * Yes No What program most interests you today? Feel free to check more than one! Foster Grandparents/Classroom Volunteer Legacy Corps Powerful Tools for Caregivers Memory Cafe Meetings Retired and Senior Volunteer Program Why would you like to volunteer with the Aging Strong Program? * Briefly describe your interests, skills, and hobbies Occupations Past Or Present! Volunteer Interests: Please check categories that sound interesting to you Volunteering with children in school settings - mentoring, tutoring, working one on one or small groups (requires a 5 hour/ minimum each week) Companionship Respite Services (requires a weekly 2-4 hour commitment) Event Assistance/ Welcome Crew (preparing for events, event set up/ break down, hospitality) Administrative/ Office Assistance (Data entry, copying, collating...etc) Facilitating/ Teaching (Facilitating or co-facilitating a workshop or support type group gathering for families struggling with disease or the aging process) Other! Please specify below Other/ add any extra details if you'd like! By checking this box, I agree to let the Aging Strong Programs conduct background checks using the information submitted * I agree to the above statement and have submitted accurate information Thank you! We can’t wait to meet you and come together to create this amazing village here at Aging Strong.
