Volunteer Application Form

First name

Last name

Phone

Cell phone

Date of birth

Gender

Number

Street

City

State

Zip Code

Areas of Interest for Volunteers

CNN office assistance

Committee member

Companion Visit

Driver

Finance Committee

Gardening

Grocery/Meal delivery

Health Connections

Light Housekeeping

Membership Committee

Pet Care

Small Home Repairs

Tech help-MAC

Tech help-PC

Volunteer Committee

Yard work

Volunteer for Coastal Neighbors Network

ARAW Outreach

Community Health Center

Dartmouth United Outreach

Gather Flowers for Assisted Living Residents

Meals on Wheels

Meetings

Office Accounts payable

Office Administration

Office Answering Phones

Office Data Entry

Office Envelope Stuffing

Office Gardening

Office IT Technical

Office Phone Outreach

Office Provider Vetting

Office Service Requests

Westport Food Pantry

YMCA Food Delivery

Mobility issues

How did you hear about us

Additional Comments

I confirm that I have read, consent and agree to Revolutionaging’s (Helpful Village’s) TERMS OF USE and PRIVACY POLICY

Thank you for your interest

Thank you for your interest and we will be in touch with you very soon!