Please complete this application form if you are interested in becoming a Chelsea Retirement Community volunteer. Once you complete the form, click the submit button at the bottom.

Name and Address

Please complete the following information.

Emergency Contact

Please complete the following information, so that we have a contact in case of an emergency.

Demographic Information

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

Past Volunteer Experience

(Includes organization/agency and position)


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


We would like to know what you enjoy! Please share your interests, skills, activities you enjoy, etc.

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.

'I Agree'

I understand and agree that submitting this application form does not automatically register me as a Chelsea Retirement Community (CRC) 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.

I also understand that CRC licensing may require volunteers to complete a criminal background check, TB test and to sign a confidentiality statement.

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