Thank you for your interest in volunteering at SourcePoint. Please complete this application and click the 'Continue' button at the bottom. We look forward to working with you!

Group Information

Group Name:

# of members:

Participation:

If your group will serve more than once, you will usually send...
The same volunteers each time
Different volunteers each time

What is the age range of your group?

Group Contact Information

Please enter information for the contact person for your group.

First name:

Last name:

Title:

Street 1:

City:

State:

Zip:

Home phone:

Cell phone:

Email address:

Volunteer Involvement

How frequently would your group like to volunteer?

Group Preferences

Let us know in which of the following service opportunities your group would like to participate:
* Leaf Raking - at our senior clients' yards
* Group Home Chores - exterior chores for senior clients
* Event Assistance - wait staff, leading games, setup/cleanup
* Craft Projects - centerpieces, favors for special events
* Birthday Cards - creating birthday cards for homebound seniors to be delivered by volunteers

Your group's preferences

Equal Volunteer Opportunity/Agreement

Opportunities for volunteers are provided without regard to race, color, religion, sex, national origin, veteran status or physical ability. 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 chosen to volunteer, any misstatement or omission of fact on this application is cause for immediate removal. I authorize SourcePoint to verify any information I have provided by contacting 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 SourcePoint, my volunteer service may be terminated at any time, at the option of either SourcePoint or me.

I understand that if any members of this group wish to enter a client's home or wish to volunteer individually, they will need to participate in SourcePoint's volunteer orientation process, including a background check.

Checking the 'I Agree' box below serves as your signature.

I Agree