Volunteer Application Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### If you are a student, please tell us which school and your area of study: Emergency Contact Name * First Name Last Name Relationship to you: Emergency Contact Phone Number * (###) ### #### Volunteer Opportunities at Village Friends, Inc. * Check all areas of interest for you. Driver* (Must submit copy of license and proof of insurance) Errands In-Home Visits Friendly Visits Gardening Grocery Trips Handy Person Phone Checks Office Help Computer Help (Basic tech support) Pet Care MedPal (Support with doctor appts.) Social/Culture Programming Other help with electronics (DVD, phone, TV, etc.) I am physically and mentally able to perform each of the volunteer opportunities I have checked above. * Yes Preferred Time Availability * Check all that apply. Morning Afternoon Evening Preferred Weekday Availability * Sunday Monday Tuesday Wednesday Thursday Friday Saturday Personal References * Please provide the full names and phone numbers for 3 references. (No relatives. We kindly request you to notify your references in advance to inform them about Village Friends, Inc. and your interest in volunteering.) How did you hear about Village Friends, Inc.? * Village Friends Member Friend/Family School Website Village Friends Website Social Media All Village Friends, Inc. volunteers must pass a background check, sign a Confidentiality Agreement and Liability Waiver before they are assigned any volunteer opportunities. By checking this box, you agree to comply. * Yes Thank you for applying to be one of our volunteers! Village Friends, Inc. will be in touch soon with next steps. Thank you for committing to your community.