Volunteer form for Care-mongers
While many Americans are used to getting things done themselves, we would like to encourage the younger folks in our community to step forward and run errands for them during this time. This will allow anyone over 60 to protect themselves and others by accepting services.
Intergenerational inter-dependency is a core value which we hope will build social-connectedness with physical-distancing in this new normal. Please join us on the call to let us know how your organization can help identify younger volunteers while helping outreach to the 60+ in our community.
Calling volunteers to protect 60+ community members and help with outreach to offer services - we will help coordinate!
* Required
First Name
*
Your answer
Last Name
*
Your answer
Email:
*
Your answer
Phone number:
*
Your answer
Gender (For matching purposes)
*
Female
Male
Prefer not to say
Other:
What language(s) do you speak?
*
Your answer
City
*
Your answer
Area you want to be available :
*
Leander
Cedar Park
Avery Ranch
Spicewood Springs
Great Hills
360 (Lakewood, Courtyard, Westlake)
Steiner Ranch
Canyon Creek
Southwest (Monterey Oaks, Circle C)
Downtown
Hyde Park
Harris Ridge
Other:
Required
Zip Code
*
Your answer
How are you wanting to volunteer: (Can one or more)
*
20 - minute phone check-ins
Helping older adults with grocery and errands (In the future)
Volunteering an hour on a zoom call for a facilitating a session in skills, lecture style, yoga class, etc (In the future)
Required
What other services could you offer?
Your answer
Volunteer Agreement
https://drive.google.com/file/d/1qJfn0XSsDfdbdozMmk3cO5N-Bc4GAGte/view?usp=sharing
I agree that I am volunteering and the organizers take no liability for anyones actions
*
I understand
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
