Volunteer Form Personal Information Courtesy Title* (required) MrMrsMissMsDrRevHon First Name* (required) Middle Name Last Name* (required) Suffix Name go by Mailing Address Street City State Zip Contact Information Home Phone Cell Phone Work Phone Email Best Days to Call: MondayTuesdayWednesdayThursdayFridayAny Day Best Time to Call: 9am-12pm1pm-4pmAny Time Opportunities Volunteer Opportunities (Check all activities in which you would like to help) Annual Fundraising Dinner (August)Donations/Baked Goods/Special EventsProgram Instructor/Teaching a ClassLanguage Class ‐ Italian/SpanishNeedlework ClassAssisted Senior Program (ASP)ASP Client SupportASP Day TripsASP Projects - ActivitiesCollege InternshipsEvent Set‐up and BreakdownFlyer Distribution in CommunityFront Office/Phone HelpGreeterSenior GamesBazaar/Craft Fair (October)Handyman RepairsSpecial LuncheonsChristmas LuncheonVeterans LuncheonVolunteer LuncheonBingo (Every Friday evening)Kitchen HelpBook ShoppeLocal Food Donation Pick‐upCommitteeDecorating Committee (events & seasonal)Dinner/Dance CommitteeNew Member Orientation CommitteeFashion Show (Committee/Model)Tea Party CommitteeLunch Servers ‐ DailyMailings ‐ OccasionalSunday Dinner w/ FriendsNewsletter ‐ Mailing TeamTransportation/Special EventsOrganizing/InventoryTrip/Travel CoordinatorYard SaleYard WorkData Entry Interests in Activities and Events (Check all activities in which you would like to participate) Art ClassNeedleworkSwimmingBible StudyPhotographyTea PartiesBingoPokerTripsDay TripsOvernight TripsBook ClubPuzzlesComputer ClassShuffleboardCraftsSingingWii Computer GamesDuplicate BridgeSunday DinnersFitness ProgramsSupport GroupsAlzheimers SupportGrief SupportLine Dancing Other Interests Δ
