Please complete this application form if you are interested in becoming a North Coast Opportunities Volunteer Network volunteer. Once you complete the form, click the Continue button at the bottom.
Address, Apt, City, ZIP
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 your T-Shirt Size
What Skills or interests do you have that you would like to share? Are you already assigned to an Americorps Senior program? If so, where are you assigned? Which Volunteer Program are you interested in? (EKS VITA, CERT, RSVP, Foster Grandparent Program, etc.) Are you a Veteran, Military member or Family of a Military member?
Please list an emergency contact (Name, Relationship, Mailing Address, Phone Number and Email)
Please enter your Beneficiary's full name and contact information in the box below.
By checking the box below, I understand that I am not an employee of AmeriCorps Senior or The Volunteer Network, the sponsor, the volunteer station or the Federal Government and agree to serve without compensation. I further agree that if II use my personal automobile (if applicable) to and from my volunteer work station, I will arrange to keep in effect automobile liability insurance equal to or greater than the minimum required by the state.