Volunteering at Senior Services Associates

Do you have a bit of extra time to donate to your neighbors? Would you like to make a difference in the lives of others in your community? We would appreciate your support and help. Please complete the form below and hit ‘send’ once you are done. You may choose to volunteer for more than one of our opportunities/programs. Once you have completed this form, a staff member will contact you to discuss the program(s) in more detail. Please note that a more specific and detailed form will be provided to you after that discussion.

Your Name(Required)

Date of Birth(Required)

Phone(Required)

Email(Required)

Other languages spoken:

Spouses Name (if applicable)

Emergency Contact Name:(Required)

Emergency Contact Phone Number:(Required)

Signature(Required)

Volunteering at Senior Services Associates

Volunteer Application