Neighborly Care Network’s Volunteer Application Form

Thank you for your interest in volunteer opportunities at Neighborly Care Network! Please complete this application form to be considered. Our minimum age to volunteer is 18. Once you complete the form, please click the I AGREE button at the bottom.

SPECIAL NOTES: During the Coronavirus pandemic, Neighborly will be accepting applications for Meals on Wheels (MOW) volunteers only. All applicants should choose "individual" below the name fields. Spouses/partners who intend to serve together should complete their own individual application. Additionally, Neighborly's MOW program is only operational Monday through Friday, and those interested must be available weekdays between 10:30am and 2:30pm to volunteer. Thank you again!

Contact Information

First name:

Last name:

Kind:

Individual Group

Group name:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

OK to call me here

Cell phone:

* OK to call me here

Email address:

Demographic Information

Please provide the following demographic information used only for funding agency requirements.

Date of birth:

Age:

Gender:

Ethnicity:

Availability

Please indicate the days and times you are usually available to volunteer. Generally, volunteers serve between 10 AM and 2 PM.

Email Preferences

We like to keep volunteers informed of important news, trainings, 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 and texts you would like to receive from us.

Assignment Preference

Please select the role or roles that interest you. You can click on each to see its location and description. Choose from Meals on Wheels (MOW) driver, Dining Site, Adult Day Center client assistance, Adult Day Center entertainer, Friendly visitor, Board of Directors, and administrative (clerical) options. **At present, Neighborly is only actively recruiting Meals on Wheels volunteer drivers.

Orientation

Attendance at orientation is required prior to service. Please select which orientation session you will attend below and be sure to add it to your personal calendar! Orientations are held at our Administration office located at 13945 Evergreen Ave., Clearwater, FL 33762.

Times

Assignment

Tuesday April 7, 2020:

1:30pm to 3:30pm