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Please fill out the following application.
Access your profile
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What's your email address?
Your email address:
Your information
Required fields are marked with an asterisk (*).
First Name
*
Middle Inital
*
Last Name
*
Address
*
City
*
State
*
Zip Code
Home Phone Number
Cell Phone Number
For example, 123-456-7890
Birth Date
*
A valid date as MM/DD/YYYY (for example: 11/30/2015)
Place of Employment
Emergency Contact:
In the event of an accident or illness while serving at Shorehaven, the person listed will be called if necessary.
Please provide a first and last name, address and phone number(s)
.
*
Why are you interested in volunteering at Shorehaven?
If you are a student needing service hours how many hours do you need?
References:
Please provide two references we may contact. First and last name, phone number, and relationship to you.
*
What areas are you interested in volunteering?
Note: when you see the description escorting residents, it means you will be pushing residents in wheelchairs to their appointments.residents
Assist with activities
Beauty shop (escort to onsite appointments)
Bingo
Boat driver
Ceramics
Chapel (escort to worship service)
Corner Store
Deliver mail
Doctor appointments (occasionally need help escorting residents to onsite appointments)
Forgotten Treasures Resale Boutique
Friendly visits with residents
Mending and sewing
Outdoor walks around campus
Pet visits
Physical Therapy (escort residents to onsite appointments)
Play cards
Read to residents
Share musical talents
Special events
Trishaw driver
I have other talents I would like to share
How often would you be available?
Weekly
Twice a month
Once a month
Which days(s) would you prefer to volunteer?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Hours vary on the type of volunteer work you choose to do. What time frames work best for you?
Mornings
Afternoons
Evenings
Flexible (I can fill in where needed)
Have you ever been convicted of a felony, misdemeanor, or ordinance violation other than a traffic violation?
If yes, please explain in the box below.