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Welcome | Volunteers

Senior Services is looking for volunteers to help us out. By helping us, you are bring something for our seniors to look forward too.

Fill out the form below and help make a difference.

Senior Services Volunteer Application Form
SECTION 1: VOLUNTEER INFORMATION
Full Name
First Name Last Name

Address

Phone Number
- Area Code Phone Number
E-mail
Emergency Contact:
First Name Last Name
Phone Number
- Area Code Phone Number
Languages Spoken:

English French Other
If other, what?
SECTION 2: VOLUNTEER ASSESSMENT
Employment and Volunteer History (information used for matching with client
Current Occupation:
Volunteer Experience:
Relevant Training/Experience:
Volunteer Interest
Where did you hear about the Senior Services volunteer programs?
What appeals to you about volunteering?
What goals do you have for this volunteer experience?
Do you have a geographic preference for where you volunteer?
Do you have a geographic preference for where you volunteer?
Do you have any health concerns that might affect your ability to perform a volunteer role? (allergies, physical limitations, etc.)
Volunteer Availability
How much time would you like to contribute? (we request that you contribute a minimum of 1 to 2 hours per week)
SECTION 3: CHARACTER REFERENCES AND POLICE RECORDS CHECK
To ensure the safety of our clients the Senior Services carefully screens all volunteer applicants. As part of this process, you are required to provide two character references from people who are not related to you. A police records check is required. We will process your applications upon receipt of your character references and police records check.
Reference # 1:
Full Name
First Name Last Name

Address

Address

Phone Number
- Area Code Phone Number
SECTION 4: AUTHORIZATION
The information provided through the volunteer application and approval process is confidential and will be used only for the administration of your application and resulting volunteer work with the SWSVS. Your completion and signature of this application form authorizes the SWSVS to contact your references.
Signature of Applicant
Date
/ Month / Day Year
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