Senior Cares

Volunteer Application:

Senior CARES is a phone check-in service that pairs volunteers with seniors in the Poulsbo area. Volunteers will participate in friendly calls with 1-3 seniors weekly at mutually agreed upon times. Anyone over the age of 21 is welcome to apply for the program; training and a background check are required.
1.Name:
2.Phone Number:
3.Email Address:
4.I would like to volunteer as a (please check all that apply):
5.I am available to Volunteer Weekly on (please check all that apply):
6.Is there a time of day that is preferable? Please Check all that apply
7.Please tell us about your interests:
8.Please provide an Emergency Contact:
9.I am over the age of 21
10.Please read the following consents and check the appropriate box:
  • I understand this is a volunteer position and I will not be paid for my services.
  • I will adhere to the policies of Senior Cares
  • I consent to a background check if required
  • I will sign a Release and Waiver of Liability
Current Progress,
0 of 10 answered