Thank you for your interest in volunteering with Serving Seniors. Please complete this application form to become a volunteer with us. Once you complete the form, please click "Continue" at the bottom of the page.


Applicant Information


Demographic Information

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



Minor Applicants

If you are under the age of 18, Serving Seniors requests that you complete our Volunteer Application Form for Minors:

https://www.volgistics.com/ex/portal.dll/ap?ap=2123367617


Please check the box below to confirm that you are 18 years old, or older.



Emergency Contact Information


Availability

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



Skills and Attributes


Experience


Assignment Preferences


Liability

I hereby acknowledge that there are certain risks of injury involved in participating in volunteer activities, and I knowingly and freely assume all such risks and assume full responsibility for any such injury. To the extent allowed by law, I agree to indemnify and hold harmless Serving Seniors, its governing board, officers, employees, agents, representatives and volunteers, of all liabilities and all loss or damage to person or property which may occur or be incident to my involvement or participation as a volunteer.



Confidentiality

I understand that as a Serving Seniors volunteer, I may be exposed to personal and/or confidential information, including but not limited to, information regarding clients, donors and/or vendors of Serving Seniors. I agree that I will not disclose personal and/or confidential information I obtain as a volunteer for Serving Seniors to any unauthorized body.



Publicity

I hereby release my rights, ownership and usage of any photos or images taken during the course of my volunteer time. I grant ownership to Serving Seniors to use the images to promote the agency however they see fit.



Proof of COVID Vaccine and Background Check

For the health and safety of our clients, our current policy is that all volunteers must be fully vaccinated against COVID-19.  Please indicate below whether you have a completed COVID-19 Vaccination Record Card.  If you have been fully vaccinated, but lost your card, we can send you the government form to request a new one.

Additionally, please check the box below to authorize Serving Seniors to obtain background reports and/or investigative criminal background reports for the volunteer application process, as well as at any time during your volunteer status.  These reports might include, but are not limited to, a search of your criminal background, sex offender registry, and verification of your identification and Social Security Number.



Agreement Statement

I understand and agree that submitting this application form does not automatically register me as a Serving Seniors 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 have had the opportunity to read and understand the above, including the release, and acknowledge that by digitally signing the document, I am waiving certain legal rights in the event of injury.

By pressing "Continue", I accept and agree to the terms contained above.