AmeriCorps Seniors RSVP Volunteer Interest Form

AmeriCorps Seniors RSVP Volunteer Station Interest Form

Thank you for your interest in becoming a Volunteer Station with Future Builders, Inc. AmeriCorps Seniors RSVP! Please fill out the form below to help us understand more about your agency.
Agency Name*
EIN (if applicable)
Primary Contact Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Point of Contact Information

In case we are not able to reach in First Point of Contact, please provide the name and contact information of someone we can reach out to on their behalf.
Name*

First NameLast Name
Position/Title*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Agency Site Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Agency Site Mailing Address (If different from site address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which county is the agency currently located in?*
Agency Mission Statement*
Social MediaCommunity EventDirect Invite from Staff MemberEmailInterest FlyerOther
YesNoOther
Healthy Futures (Ex. health care fraud/scams awareness, physical health care for seniors, emotional support care for seniors, senior living)Education (Ex. literacy tutors/mentors for children & adults in literacy, history presentation at museums & libraries, etc.)Food Insecurity (Ex. providing nutrition education & resources)Other
Healthy Futures (Ex. health care fraud/scams awareness, physical health care for seniors, emotional support care for seniors, senior living)Education (Ex. literacy tutors/mentors for children & adults in literacy, history presentation at museums & libraries, etc.)Food Insecurity (Ex. providing nutrition education & resources)Environmental Stewardship (Ex. protecting natural resources through land restoration, community gardens, and more)Other
Public AgencyPrivate Secular NonprofitPrivate Religious NonprofitProprietary Health Care
If you are a 501(c) please attach a copy of your registration of charitable status.

Cancelof
Volunteer Program Descriptions
Recruiting volunteers age 55 and overFinding volunteers with special skillsOne time events/special projectsTraining/assistance with volunteers
List all volunteer positions that you would like RSVP to recruit for.*
There is currently have a volunteer program at your agencyThe agency has an on-site Volunteer CoordinatorThe agency honors their volunteers with a recognition eventThe agency provides travel costs for volunteersThe agency provide free parking for volunteersThe agency provides free meals to volunteers
Are there any other benefits the agency provides to their volunteers? *
How do you think joining the Future Builders, Inc. RSVP will help your agency improve/impact your services*
Availability

Please select the days the agency would be in need of volunteers.
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Questions?
Should be Empty:

AmeriCorps Seniors RSVP Volunteer Station Interest Form

Secondary Point of Contact Information

Volunteer Program Descriptions

Availability