Volunteer Application Form

First name

Last name

Phone

Cell phone

Date of birth

Marital status

Gender

Number

Street

City

State

Zip Code

Areas of Interest for Volunteers

Friendly Visits

Friendly telephone calls, Zoom or FaceTime

Transportation

Volunteer for Neighbors Network of Lee County

Advisors and Board Members

Drive to appointments, errands, grocery shopping

Event/Program Support

Fundraising

Future volunteer services (respite care for caregivers, help with simple home chores and/or yard work, computer wiz/helper)

Generalist or undecided

Information Technology (Helpful Village, Dropbox, Security, Apps)

Instructors: Arthritis Foundation Exercise Program

Instructors: Bone Builders

Instructors: Breath-Body-Mind

Instructors: Strong Bodies of NNLC/RSVP

Instructors: Tai Chi

Instructors: Technology series

Instructors: Yoga

Interns and college students

Outreach

Social Media and Marketing

Volunteer Management, Scheduling and Training

First reference name

First reference email

First reference cell phone

First reference phone

First reference relationship

Second reference name

Second reference email

Second reference cell phone

Second reference phone

Second reference relationship

Previous Volunteer Experience?

Do you have current and valid drivers license?

Do you have current and valid car insurance?

Current Health

Mobility issues

Home type

Employment status

How did you hear about us

Additional Comments

I confirm that I have read, consent and agree to Revolutionaging’s (Helpful Village’s) TERMS OF USE and PRIVACY POLICY

Thank you for your interest

Thank you for contacting us — it’s a pleasure to connect! Our team is committed to providing friendly, professional assistance, and we’ll be reviewing your message right away. You’ll hear back from us soon.