Volunteer Application Form: Group Moderator
Thank you for your interest in becoming a group moderator for the Sharing Network. Our program provides remote activity, educational, cultural, and conversation groups for older adults, with a focus on Black women aged 60s-80s who may be socially isolated or have limited mobility. We rely on dedicated volunteers to moderate these groups, and we appreciate your willingness to share your time and talents. 

Please fill out the following application form, and we will be in touch with you shortly. 
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Personal Information
Name *
Email *
Phone Number *
Address *
Availability
Are you available to moderate a group remotely via Zoom?  *
What days and times are you available to moderate a group? 
 *
Experience, Interests and Skills
Do you have any experience moderating groups or working with older adults? If so, please describe. 
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What skills or interests do you have that would make you a good group moderator?
 *
Do you have any specific topics or themes in mind for your group? 
 *
Training and Requirements
Are you willing to complete an hour-long training session prior to moderating a group? 
 *
Are you willing to undergo a background check? 
 *
Commitment
Our group moderator commitment is for 1 hour per week for a minimum of 6-8 weeks, with the possibility of continuing. Are you able to commit to this time frame? 
 *
Our group moderator commitment is for 1 hour per week for a minimum of 6-8 weeks, with the possibility of continuing. Are you able to commit to this time frame? 
 *
Additional Information
Do you have a reliable internet connection for remote group moderating? 
 *
Is there anything else you would like us to know about your experience, skills, or availability? 
 *
Thank you for taking the time to fill out this application form! We will review your information and get back to you soon. 
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