Please complete this application form if you are interested in becoming a Frederick Living volunteer. Once you complete the form, click the Continue button at the bottom.


Contact Information


Demographics

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



Availability

Please indicate the days and times you are usually available to volunteer.



Assignment Preference

The following volunteer assignments may currently be available. Please indicate your interests.



Emergency Contact

In the event of an emergency whom should we notify?



Employer

Please list your current or most recent employer, if applicable.



References

Please provide 2 references who will be contacted once your application is received.



Have you ever been certified as a nurse's aid?


Have you ever been convicted of a felony?

If yes, please briefly explain.



Special talents or skills

Please list any special talents or skills that you might be able to share with our residents.  Is there anything else that you would like to tell us about yourself?



EMail

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.



Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.



I Agree

I understand and agree that submitting this application form does not automatically register me as a Frederick Living volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.


By submitting this form, I attest that the information I have provided on the form is true and accurate.