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Volunteer Application Form

JOIN THE VILLAGE

Thank you for your interest in becoming a volunteer - not only will you help enrich their lives but your life will be enriched as well! Kingdom Care Senior Village (KCSV) works to support senior adults, aged 60 and older with a network of services and a wide-range social/cultural events to help them remain comfortable and safe in their home. Seniors desire to live a fun, full life - sometimes they just need a little help, support, companionship or even just a smile. Thank you again!

First name

Last name

Phone

Cell phone

Allow text messages from Kingdom Care Senior Village?

Date of birth

Marital status

Gender

Number

Street

City

State

Zip Code

Areas of Interest for Volunteers

Activity/Outing Assistance

Computer Wiz-MAC

Computer Wiz-PC

Friendly Visit

Gardening

Grocery/Meal deliver

Handy Person

Organizing

Transportation

Volunteer for Kingdom Care Senior Village

Accounts payable

Administration

Answering Phones

Data Entry

Envelope Stuffing

IT Technical

Phone Outreach

Provider Vetting

Service Requests

First reference name

First reference email

First reference cell phone

First reference phone

First reference relationship

Do you have current and valid drivers licence?

Do you have current and valid car insurance?

How did you hear about us

Additional Comments

I confirm that I have read, consent and agree to Revolutionaging’s (Helpful Village’s) TERMS OF USE and PRIVACY POLICY

Thank you for your interest

Thank you for your interest and we will be in touch with you very soon!