ElderFriends Volunteer Application

*(denotes required field)

Name:*

E-Mail Address:*

Address:

City, State, Zip:

Daytime Phone: (xxx-xxx-xxxx)

Evening Phone: (xxx-xxx-xxxx)

Birth Date:

Gender:

Male
Female

Employer:

Questions

How long have you lived in the state of Washington?
Years:

Months:

How many hours per month are you able to commit to volunteering with ElderFriends?

How did you hear about ElderFriends?

Why do you want to volunteer? What do you hope to gain from volunteering with ElderFriends?

What would you like to do?:

Regular home visits with an isolated elderly person
Be a phone buddy
Assist with on-call tasks (for example: shopping/errands)
Deliver holiday meals
Prepare holiday packages
Help coordinate social events
Accompany elders to ElderFriends events
Fundraising
Ask for/pick up in-kind donations
Design and maintain ElderFriends' website
Design and maintain databases
Publicize ElderFriends at community events
Write and/or edit articles for our newsletter

When can you volunteer?:

Weekdays
Weeknights
Weekends
Holidays

Do you have a car?:

Yes
No

Ethnicity:

African-American/Black
Asian
Caucasian/White
Hispanic
Native American
Pacific Islander/Hawaiian

Other:

Religious Affiliation:

Buddhist
Christian
Hindu
Jewish
Muslim
None

Other:

Languages Spoken:

Chinese
English
French
Russian
Spanish

Other: