Volunteer Application Form

JOIN THE VILLAGE

Thank you for your interest in becoming a volunteer - not only will you help enrich their lives but your life will be enriched as well! Kingdom Care Senior Village (KCSV) works to support senior adults, aged 60 and older with a network of services and a wide-range social/cultural events to help them remain comfortable and safe in their home. Seniors desire to live a fun, full life - sometimes they just need a little help, support, companionship or even just a smile. Thank you again!

Your Information

First name

Last name

Phone

Cell phone

Date of birth

Marital status

Gender

Address

Number

Street

City

State

Zip Code

Areas of Interest for Volunteers

Activity/Outing Assistance Computer Wiz-MAC Computer Wiz-PC Friendly Visit Gardening Grocery/Meal deliver Handy Person Organizing Transportation

Volunteer for Kingdom Care Senior Village

Accounts payable Administration Answering Phones Data Entry Envelope Stuffing IT Technical Phone Outreach Provider Vetting Service Requests

Additional Information

First Reference

First reference name

First reference relationship

First reference email

First reference cell phone

First reference phone

Do you have a current and valid drivers license? Do you have current and valid car insurance?

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 contacting us — it’s a pleasure to connect! Our team is committed to providing friendly, professional assistance, and we’ll be reviewing your message right away. You’ll hear back from us soon.