Volunteer Application Form

Phone: 302-500-1281

Volunteer Application Form

Please note in the additional comments below if you have any relevant expertise not listed here.

Please do not use relatives for references.

Please only enter phone numbers in the phone fields or leave them blank.

Thank you!

First name

Last name

Phone

Cell phone

Date of birth

Gender

Number

Street

City

State

Zip Code

Areas of Interest for Volunteers

Computer Wiz-MAC/IPhone

Computer Wiz-PC/Android

Errands With Members

Friendly Visit

Gardening

Grocery/Meal deliver

Handyperson

Household Support

Organizing

Pet Care

Run Errands for Member

Telephone Check-In

Transportation

Trips to Friends

Volunteer for South Coastal Village Volunteers

Accounts payable

Administration

Answering Phones

Data Entry

Envelope Stuffing

IT Technical

Office Support

Phone Outreach

Provider Vetting

Service Requests

Technical Assistance

Work in SCVV office

First reference name

First reference email

First reference cell phone

First reference phone

First reference relationship

Second reference name

Second reference email

Second reference cell phone

Second reference phone

Second reference relationship

Previous Volunteer Experience?

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!