Senior's Help Initiative
I am a:
*
Senior/Senior Family Member
Volunteer
Seniors / Family Members
You will be added to a WhatsApp group with both Seniors and Volunteers
Please request any help needed by posting in the Az-Zahraa Centre WhatsApp group.
If you would like social visits, please post a message in the group indicating this, and a volunteer will reach out to schedule.
Volunteers:
Please indicate in the group whether you are available for:
Help at the Az-Zahraa Centre
Home visits
Or both
You will be added to a WhatsApp group with both Seniors and Volunteers
Seniors or their family members will post requests in the group, and you can respond if you are available
Social visits should be scheduled directly with the senior or their family
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
As a senior/senior family member, what type of support do you require:
Help at Az-Zahraa Centre
Home social visits by volunteers
As a volunteer, what type of support do are you willing to provide:
Help at Az-Zahraa Centre
Home social visits
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you over 18?
Yes
No
Any special message you need us to know
Submit Form
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