Volunteer Application


Please complete this application and select an orientation date. Once you complete the application, click the submit button at the bottom. Upon receipt of your application, we will email you information to review prior to orientation.

Personal Information



















Employment




Volunteer Preferences


Check all that apply:

Check all that apply:

Orientation Date

Please select your preferred orientation session (select only one) *












Volunteer Questionnaire

If you would like to become a Visiting or Phone Companion, please fill out this section.



Motivation


Experience


Elder Traits


Please read the following in preparation for the next question:

Just as in the general population, LBFE elders reflect a wide array of personality traits and characteristics. Some are talkative, some are quiet, some are curious and outgoing and others are shy, reserved, or withdrawn. Some elders like to get out-and-about, while others are home-bound.

Some may have cognitive and/or emotional/mental health concerns, including depression. Some are in good physical shape, while others face mobility issues and other physical challenges associated with aging, including hearing loss, vision loss and chronic illness.

Demographics


How Did You Hear About Us?


Hidden fields





Please complete this application and select an orientation date. Once you complete the application, click the submit button at the bottom. Upon receipt of your application, we will email you information to review prior to orientation.

Personal Information



















Employment




Volunteer Preferences


Check all that apply:

Check all that apply:

Orientation Date

Please select your preferred orientation session (select only one) *












Volunteer Questionnaire

If you would like to become a Visiting or Phone Companion, please fill out this section.



Motivation


Experience


Elder Traits


Please read the following in preparation for the next question:

Just as in the general population, LBFE elders reflect a wide array of personality traits and characteristics. Some are talkative, some are quiet, some are curious and outgoing and others are shy, reserved, or withdrawn. Some elders like to get out-and-about, while others are home-bound.

Some may have cognitive and/or emotional/mental health concerns, including depression. Some are in good physical shape, while others face mobility issues and other physical challenges associated with aging, including hearing loss, vision loss and chronic illness.

Demographics


How Did You Hear About Us?


Hidden fields




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