Volunteer

Volunteering brings out the best in people working together for a common cause. We hope you consider stepping up and if you do, the rewards you receive back are well worth it!!!

Print Volunteer Application Forms:

Volunteer Form>

Volunteer Waiver of Liability>

Volunteer Confidentiality Agreement>

OR

Please Fill Out The Form Below and We Will Contact You:

: Application to Volunteer at Blaine Senior Center
Name:

Date of Birth dd/mm/yyrr
email:
phone:
Street Address:
Adress Line 2:
City:
State:
Zip Code:
Click here to edit title

: Emergency Contact List two persons we can contact on your behalf in case of emergency:
Name/ Relationship/Telephone Number:
Name/ Relationship/ Phone Number:

Are you volunteering to fulfill court-ordered community service?: YesNo

I have the following limiting physical condition(s):
: Please check your availability. (Check all that apply.) Schedule

Schedule:: WeeklyEvery Other WeekMonthlyOn Special Occasion

: Day and Time of the Week you are available:
Day and Time of the Week you are available:: MondayTuesdayWednesdayThursdayFridaySaturday

: Commitment
Commitment Schedule:: Year AroundWinterSpringSummerFall

Blaine Senior Center

Volunteer

The Center Runs With The Help Of Volunteers

Application to Volunteer at Blaine Senior Center

Emergency Contact List two persons we can contact on your behalf in case of emergency:

Please check your availability. (Check all that apply.) Schedule

Day and Time of the Week you are available:

Commitment

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