Please complete this application form if you are interested in becoming a Frederick County Senior Services volunteer. Once you complete the form, click the submit button at the bottom.

Personal Information

Demographic Information

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.


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

Emergency Contact Information

Area of Interest

Let us know what areas and opportunities that are of interested to you. To see a list of opportunities currently available click here.


What is your previous work experience? What are your areas of interest or hobbies? What are your other volunteer activities?

Background Check

Have you ever been convicted of a crime? If so, please explain. A conviction is not an automatic bar to volunteering. Each situation will be individually assessed.

Drivers License and Vehicle Information

This information is required if you would like to volunteer for a driving position.

Additional Information

Email Preferences

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.


By checking this box, I am agreeing to the confidentiality policy that my personal information will remain confidential and will only be shared with others on a necessary basis. I am also confirming that I am aware that I will be undergoing a background check for the screening process of this application.