Senior Social Volunteer Registration
Senior Social occurs one Saturday each month. Each senior is paired 1:1 with a trained volunteer so their caregiver can enjoy a few hours of rest. Volunteer shifts are 10:00 AM–2:15 PM. If you’d like to volunteer, please fill out this form.
Full Name
First Name
Middle Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date Picker Icon
Email Address
example@example.com
Cell Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Name of Emergency Contact
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please select what dates you would like to volunteer for our Senior Social
September 12th
October 10th
November 14th
December 5th
All volunteers must complete a free background check and a one and a half hour virtual volunteer orientation before the Senior Social event.
*
I understand and agree to these volunteer requirements.
Submit
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