Volunteer Application for Sebastopol Area Senior Center
We are pleased you are interested in volunteering at the Sebastopol Area Senior Center. Our volunteers provide an invaluable service. Thank you for applying for a volunteer position! Protocol: To ensure it's a great fit for both you and the Senior Center, we will invite you to come in for a trial shift that works for you. This will give you a chance to get a feel for the work and to meet our staff and volunteers. It will also help us see how your skills and interests align with ours.
Your contact Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Tell us about yourself
Your previous work experience
*
Previous Volunteer Experience
*
List any Clubs or Organization Affiliations/Areas of creative interest:
Why are you interested in volunteering at the Senior Center
*
How did you hear about us?
Any Limitations?
*
Heavy Lifting
Limited Walking
Vision Impairment
Limited hearing
No Limitations
Other
Your References
Please provide the name of 2 references
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
What day are you available for volunteering?
MON
TUE
WED
THUR
FRI
9am - 12:30pm
12:30pm - 4pm
Emergency Contact Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship to you:
*
Spouse, sibling, friend etc
Phone Number
*
Please enter a valid phone number.
Submit
Should be Empty: