Evergreen Retirement Community - Volunteer Application

Volunteer Application

Information about yourself:
Full Name
Address
City, State Zip
Phone
E-mail address
Sex: Male Female
Age Group: 13-17 18-29 30-39 40-59 60 or over
Why do you want to volunteer at Evergreen?

Which day(s) of the week are you usually available:
Monday	Thursday	Saturday
Tuesday	Friday	Sunday
Wednesday
What time of the day are you usually available:
Mornings	Afternoons	Evenings
Which of the following volunteer opportunities interest you?
Assist with activities
Assist with exercises
Computer Buddies
Field trip escort
Manor Mart Resale Shop
Meal service
Music
Special events
Transporting residents around campus
Visiting with residents
Other