ADRC of NW WI Volunteer Form
First and Last Name
Best phone number to contact you:
County of Residence
I would be interested in volunteering for the following positions (check all that apply):
Transportation Program Volunteer Driver: I have a valid driver’s license, a vehicle in good working condition and can provide proof of automobile insurance.
Home Delivered Meal Driver: I have a vehicle in good working condition in which I can deliver meals, am dependable and feel strongly in the importance of helping homebound individuals have access to good, nutritious meals.
Congregate Meal Site Volunteer: I understand I won’t be involved in cooking meals but I would love to assist those who do in other areas of meal site preparation, helping provide a positive experience to participants of the Congregate Dining Program.
ADRC Board and/or Aging Advisory: I feel strongly in opportunities in which I can affect change and influence policy, procedures and rules for the better in regards to services provided to the aging and disabled population.
Nutrition Project Council: I am a participant of the congregate dining or home deliver meal programs and would love to help make these dining experiences the best they can be!
The Voice Bundling/Delivery: I read The Voice and believe in the importance of getting this information out to as many aging and disabled individuals as possible.
Healthy Aging Workshop Leader: I have experience facilitating small groups 8-14 individuals and feel passionate about prevention, healthy living and life long learning.
Dementia Friendly Communities Volunteer: I would like to help eliminate the stigma and isolation associated with dementia by helping create and/or sustain socialization opportunities and support programs for individuals with dementia and their caregivers in my community.
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