Friends Volunteer Application 011022

935 Lake Elmo Dr. Ste. B – Billings MT 59105 – (406) 259-3111
Friends Volunteer Application

Thank you for your interest in our Volunteer program to offer support and companionship to home bound seniors. Our goal is to match you with a client based on their needs for companionship, shopping, etc. The information provided below will help us to find a friend with similar interests.
Name

First Name Last Name
Phone Number
Please enter a valid phone number.
Phone friend - Make regular phone calls to visit, socialize, reminisce

I'm interested in becoming a phone friend
Phone friend availability:

Daily phone calls 3 times per week 4-5 times per week
Visiting friend - Make regular visits in person

I'm interested in becoming a visiting friend
I'm interested in these Visiting Friend activities:

Socialize/visit Cooking/baking Playing games Help with correspondence Read books or magazines Reminisce (look through photos and memorabilia Shopping or run errands, medical Bible study Other
Visiting Friend availability

Once per week Twice per month ½ hour per visit 1 hour per visit 1½ hour per visit 2 hours per visit
Light yard work or gardening Handyman work or home repairs Drive senior on errands, medical appointments Attend community events (concerts, exhibits, shows, sports, etc Check writing, bill paying Other:
Lend-A-Hand friend - special visits as needed

I'm interested in becoming a Lend-A-Hand friend
I'm interested in these Lend-A-Hand activities:

Light yardwork or gardening Handyman work or home repairs Drive senior on errands, medical appointments Attend community events (concerts, exhibits, shows, sports, etc.) Check writing, bill paying Other
Please list your special skills, interests, and/or hobbies
Did you serve in the military? Type a label Which branch? blanks How many years did you serve? blank
Tell us why you are interested in volunteering
List previous volunteer experience
How did you hear about us?
Based on your information, we will do our best to find a client with similar interests. You will be contacted about training and other requirements as soon as a background check is complete. Thank you for your interest in the Friends Volunteer Program!

[please sign below] Once a match is made, I agree to volunteer for a period of three months. Afterwards, I may continue with the same client, request a new match or terminate my volunteer commitment.

I further understand that I am not a housekeeper or personal assistant and will not receive wages from Big Sky Senior Services, Inc. I understand that I must maintain strict confidentiality regarding my client.
Your Signature

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