Group Volunteer Application
Contact's full name
*
First Name
Last Name
Contact's Preferred name
*
Name of group or organization
*
Affiliation (if applicable)
Ex. St. John Fisher University
City
*
State
*
Zip Code
*
Contact's Phone Number
*
Contact's Email
*
Do you have a prior connection to St. Ann's?
*
Yes
No
If yes, how have you been connected?
Organization Reference
Reference Full Name
*
First Name
Last Name
Relationship
*
References Phone Number
*
Email
*
example@example.com
Location to volunteer at
Select all that apply
Location
*
Irondequoit Campus
Webster Campus (Cherry Ridge)
Durand Adult Day Services
Portland Home Connection (Adult Day)
Wherever I'm needed most
Availability & Hours
What days of the week are you able to volunteer? (Select all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What time of day are you able to volunteer?
*
Mornings
Afternoons
Evenings
Volunteer Interest
Number of individuals looking to volunteer
*
What would your ideal volunteer experience look like? This can include activities you would like to do, a group goal, or the reason you would like to volunteer with St. Ann's.
*
Ideal dates or times: Please give us a foundation to starting to building a volunteer experience with your group organization. We do have flexibility to build a program in any time frame, but a one month lead gives us the most flexibility to meet the needs of the Elder’s at St. Ann’s and your organizations goals.
*
Additional Information
What is the purpose of your organization or group?
*
Skills, hobbies, and special interests
*
Previous work as a volunteer
*
Signatures
By entering name and date below, you are verifying that all information entered above is true and accurate
Volunteer/Conatact signature
*
Date
*
-
Month
-
Day
Year
Date
Please verify that you are human
*
Submit
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