Bethany Village Volunteer Application

Bethany Village Volunteer Application

Apply to become a volunteer at Bethany Village. Please complete all sections of the application.
Dear New Volunteer:

Thank you for your interest in volunteering at Bethany Village.

To get started, please complete the application below. Once the application is approved you will receive a link for a criminal reference check and you will provide proof of up-to-date MMR vaccination (unless born before 1/1/1957). HR will schedule your physical, TB test and Orientation.

Although it seems that there is a great deal of work to become a volunteer, the purpose is to ensure your safety, as well as the safety of our residents and staff. We know the importance of a single volunteer and we pride ourselves in knowing that we have given you the tools necessary to do amazing work with our residents.

Please call (607) 378-6594 with any questions. We look forward to working with you!
First Name*
Last Name*
Home Address*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Education/Training
Volunteer Experience
Talents/Skills
Duty Preferences
Availability/Times - Holiday
Availability/Times - Saturday
Availability/Times - Monday
Availability/Times - Tuesday
Availability/Times - Wednesday
Availability/Times - Thursday
Availability/Times - Friday
Availability/Times - Sunday
Do you have a specific amount of hours or any other requirements that need completion? If so, why?
Emergency Contact Name*
Emergency Contact Address*
Emergency Contact Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Relationship*
Volunteer Signature*
Should be Empty: