A
A
A

For it is in giving that we receive.”
~ St. Francis of Assisi

"...no matter how big government gets, and no matter how many services it provides, it can never take the place of volunteers. "
- Ronald Reagan, 40th U.S. president


Volunteer Enrollment Form

Personal Information
Marital Status:
Single
Married
Widowed
Ethnic Group:
Caucasian
African-American
Hispanic
Native American
Asian
Other
Are you a veteran of US armed forces?
Emergency Contact Information
Please indicate a person to contact if there is an emergency on a volunteer site.
Beneficiary For RSVP Supplemental Accident Insurance
For RSVP volunteers ONLY (age 55 and up).
Volunteer Interests
Check all that interest you
AIDS Education/Activities
Arts/Theatre
Book Buddies
Boys and Girls Club
Adult Literacy / Teach Computer Skills
Clerical Work
Crisis Intervention
Food Banks
Gardening/Plants/Flowers
Helping with Medicare Fraud Awareness
Military Family Assistance
Habitat for Humanity
Hospice Care
Income Tax Preparation
Local Emergencies
Hope Landing
Museum/History
Neighborhood Watch
Nursing Home visitations
RSVP Senior Dance
Special Mailings
Salvation Army
Telephoning Shut-ins
Court Appointed Special Advocates (CASA)
Senior Center Activities
Recycling
Crafts/Crocheting/Knitting/Quilting
Transportation for frail elders
Deliver meals to homebound
Yard Work/Home Repairs
Community & Special Events
By checking the box, I certify that the above information is true and correct.
To submit please enter the characters you see in the image on the right into this space:
image verification
note: all letters are lower case.