Volunteer Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Are Texts Okay? Yes No Email * Are you a Veteran? Yes No What program most interests you today? Feel free to check more than one! Foster Grandparents Legacy Corps Powerful Tools for Caregivers Memory Cafe Meetings Why would you like to volunteer with the Aging Strong Program? * Briefly describe your interests, skills, and hobbies Occupations Past Or Present! Volunteer Interests: Please check categories that sound interesting to you Volunteering with children in school settings - mentoring, tutoring, working one on one or small groups (requires a 5 hour/ minimum each week) Companionship Respite Services (requires a weekly 2-4 hour commitment) Event Assistance/ Welcome Crew (preparing for events, event set up/ break down, hospitality) Administrative/ Office Assistance (Data entry, copying, collating...etc) Facilitating/ Teaching (Facilitating or co-facilitating a workshop or support type group gathering for families struggling with disease or the aging process) Other! Please specify below Other/ add any extra details if you'd like! By checking this box, I agree to let the Aging Strong Programs conduct background checks using the information submitted * I agree to the above statement and have submitted accurate information Thank you! We can’t wait to meet you and come together to create this amazing village here at Aging Strong.