Please complete this application form if you are 18 years of age or older and you are interested in becoming a Masonic Village volunteer. Once you complete the form, click the continue button at the bottom.

Thank you!

1/3/2022 *Covid-19:Currently, only Masonic Village residents may become a volunteer. If you are not a resident, your application will be saved and information will be sent to you when community volunteers may return.

Contact Information

Please enter your full legal name. If you have a preferred name enter that as your "nickname." Your volunteer badge will be created from this information.

First name:

Last name:

Middle name:

Title:

Nickname:

Type:

Street 1:

Street 2:

City:

State:

Zip:

Home phone:

OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Demographic Information

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.

Date of birth:

* (year optional)

Age:

Age range:

Gender:

Education:

Availability

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

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however we 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.

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

Help us get to know you!

Please tell us about any special interests, hobbies, skills, careers and volunteer experience you have enjoyed.

Your interests will help match you to a volunteer position.

Which Site would you like to learn more about?

Masonic Village residents may serve in the Health Care Center or in Retirement Living. Non-residents primarily serve in the Health Care Center. In which site are you interested in serving?

The volunteer coordinator will review available options with you. This is a starting point for the conversation.

Motivation for wanting to volunteer

Emergency Contact

1

2

First name:

Last name:

Title:

Street 1:

City:

State:

Zip:

Home phone:

OK to call here

Home phone:

OK to call here

Work phone:

OK to call here

Work phone:

OK to call here

Cell phone:

OK to call here

Cell phone:

OK to call here

Email address:

Relationship:

In case of emergency, who should be contacted?

Agreement and Signature

I understand that by submitting this application I will be contacted by the Masonic Village Volunteer office to continue the application process and to discuss volunteer opportunities and requirements. If serving in the Health Care Center, I understand I will be required to submit information to the Volunteer Services Department for the purpose of completing a Criminal Record Check prior to volunteering.

I Agree