Lamorinda Village Volunteer Application Form

Lamorinda Village Volunteer Application

Thank you for your interest in becoming a Lamorinda Village volunteer. Our volunteers are at the heart of everything we do. Your generosity and community spirit helps us to continue providing the services and connections that allow older adults to thrive at home.
Name

First NameLast Name
Address

Street Address

Apartment or Unit # (enter N/A if none)

CityState

Zip Code
Email
Home Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Please provide your birthdate. Applicants must be 18 or older. Drivers must be 75 or younger at time of application. **We welcome students under 18 to join us as volunteers but they must have a guardian apply. The guardian will act as the supervisor for the student **

MonthDayYear
Date
If you are the parent of a student/child under 18 and they will be accompanying you as a volunteer - please indicate their name/age/school. If they are a member of a volunteering chapter please let us know that in the space below (ie NCL Acalanes, BTC Orinda etc)
Under 18s Info
Person to notify in case of emergency:

First NameLast Name
Relationship
Emergency contact's telephone:

Area CodePhone Number
Volunteers for Lamorinda Village are an important part of our services to members. Volunteers can choose to support member services requests or you can also choose to participate as an Office or Program volunteer. Please help us ensure that our programs and operations are supported by choosing all those areas where you have an interest or skill.
The following list is of volunteer services we are seeking to provide to Lamorinda Village Members. Please choose what is of interest to you or where you have the necessary skills:

Other
Please provide any interests/specialties that you would like to share with Lamorinda Village in the box marked Other above
Volunteer Office Corp - Office volunteers provide service to members through support to the LV office. Training will be provided on systems as needed; some experience with Microsoft Windows and Office programs is helpful but not required. All procedures are (or will be) documented and easy to follow.
Program Volunteers – Program volunteers will be part of specific “teams” who will manage each of these noted activities.
What skill or experience can you share as a class facilitator?
Should be Empty: