VOLUNTEERS
Please list two references, other than relatives, whom we may contact: Name Phone Number
The Heart & Soul of Our Organization
Address Relationship Name Phone Number Address Relationship Please check the volunteer opportunities that interest you: Catering
Farmers' Markets
Meals On Wheels
Commodities
Home Chores
Office Assistant
Deliveries (Medical Supplies)
Kitchen Assistant
Special Events
Dining Room Assistant
Mailings
Transportation
Enrichment Center
Marketing/PR
Other:
Equal Employment Opportunity Opportunities for volunteers are provided without regard to race, color, religion, sex, national origin, veteran status of disability. I attest that all the information furnished in this application is true, accurate and complete to the best of my knowledge. I understand that if given the opportunity to volunteer, any misstatement or omission of fact on this application is cause for immediate dismissal. I authorize the Council for Older Adults (COA) to verify any information I have provided by contacting references and other appropriate sources. I release reference sources from all liability or damages on account of furnishing information regarding my personal character, habits, performance, or disciplinary records. I further understand that if accepted as a volunteer at COA, my volunteer service will be at will, and that service at COA may be terminated with or without cause, and without notice, at any time, at the option of either COA or myself. I understand that background checks and/or fingerprints may be required as a condition of volunteering at COA to protect clients, team members, volunteer and paid staff. Signature Date Guardian (if under 18) Date
Thank you for your interest in becoming a volunteer for the Council for Older Adults!
“I VOLUNTEER because of the great satisfaction I get in helping others.� - Council for Older Adults volunteer