RSVP Volunteer Application Form

The AmeriCorps Seniors volunteer program is based on the philosophy of “people helping people”. All of the information asked of you is considered confidential. This information will help us to link you with the best suited volunteer opportunity. A Senior Services staff member will contact you regarding the status of your application. Please fill this form out to completion.

Full Name(Required)

Preferred Name/Nickname

Pronouns

Phone(Required)

Email(Required)

County(Required)

How did you hear about us?(Required)

Date of Birth(Required)

If married, spouse's name

Emergency Contact:(Required)

Relationship(Required)

Emergency Contact Phone:(Required)

Emergency Contact Address(Required)

Primary language:

Other languages spoken:

Are you a Veteran (if yes, Branch of Service):

I will(Required)

Driver's license #/ State ID #:(Required)

Expires:(Required)

Car Insurance Company:(Required)

Signature(Required)

By signing this, I understand that if I use my personal automobile to and from my volunteer work station, I will arrange to keep in effect automobile liability insurance equal or grater than the minimum required by the state.

If yes, where do you volunteer?

Which town(s) are you willing to travel to in order to volunteer your time? Please list.

I learned about AmeriCorps Seniors from(Required)

RSVP Volunteer Application Form

RSVP General Volunteer Application (age 55+)

VOLUNTEER OPPORTUNITIES & SKILLS/INTEREST INVENTORY