External Volunteer Application

VOLUNTEER APPLICATION
Terwilliger Plaza is looking for volunteers to help in the following ways:
- Assist with special events
- Accompany residents on outings
- Musical performances
- One-on-one visits
- Lead arts & crafts activities
- Play games with residents
- Photography for events
- Bring your service animal to visit
General Information
Name*
(First and Last)
Home Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Email
example@example.com
Type of Volunteer:*

StudentCommunity MemberMember of Terwilliger PlazaOther
Volunteer Interests (Check all that apply)*

Leading Arts & Crafts ActivitiesMusical PerformancesPhotography for eventsService Animal VisitsAssist residents to and from activitiesHelping staff with special eventsOne-on-one visitsAssist with trips outside the facilityPlaying games with residentsOther
Availability
Days of the Week*

SundaysMondaysTuesdaysWednesdaysThursdaysFridaysSaturdays
Time of Day*

Mornings (Between 8am and 11am)Afternoons (Between 11am and 5pm)Evenings (Between 5pm and 8pm)
Approximate number of hours wishing to volunteer:*

1 hour/week2-4 hours/week5-8 hours/week2-4 times/monthOnce a monthSpecial events onlyOther
Availability to start:*

MonthDayYear
Date
More About You
Please briefly tell us why you are interested in volunteering at Terwilliger Plaza:*
List any special skills, abilities or interests: *
All volunteers must complete a Criminal Background Check through our Human Resources Department before they can begin volunteering. Are you willing to complete this screening?*

YesNo
Signature of Volunteer Applicant*
Date*

MonthDayYear
Date
Should be Empty:

VOLUNTEER APPLICATION

General Information

Availability

More About You