Volunteer Application Form

Apply to Volunteer
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
What volunteer opportunities are you interested in?*

Outings to community events and/or sight-seeingArts/Crafts/GamesResident TransportationSocializingDining/Food DistributionVisitor GuidePreparing Supplies for Activities/EventsFundraisingEvent PlanningOrganizingAdministration/Clerical SupportData EntryCleaningLaundryGardeningDecoratingAssisting with EventsOther
Available start date:*

MonthDayYear
When do you prefer to volunteer?*

MorningsAfternoonsEveningsOvernightWeekdays OnlyWeekends Only
How did you hear about us?
Are you seeking service hours for school or court mandated?

Yes, for a schoolYes, court mandatedNo
Which School?
Reason for court mandated hours:
How many service hours do you need?
Date to be completed by:
Is this an organization or class requirement?

YesNo
EMERGENCY CONTACT
Name

First NameLast Name
Phone Number

Area CodePhone Number
The Altenheim is an Equal Opportunity Employer. Qualified applicants for employment and volunteers are considered without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by law.
Enter the message as it's shown*
Should be Empty:

Apply to Volunteer