Sign Up to Volunteer

Volunteers are the hearts and hands of our programs.

Your caring and dedication allows us to help our community's seniors and maintain the best quality of life possible.

If you'd like to share some of your time with us, please fill out the form below and we will get in touch with you.

We respect your privacy and won't share your email address or personal information.

Contact Information
Program Interest
Which volunteer programs and opportunities are you interested in?
Scheduling
What days of the week are you available to volunteer?
MOST VOLUNTEER OPPORTUNITIES REQUIRE A THREE-MONTH MINIMUM COMMITMENT
In what geographic area do you wish to volunteer
Emergency Contact Information
Screening Questions
Due to access to confidential information, a background check is required. Our volunteer screener, Sterling Volunteers, requests a $16.00 fee to cover the cost of a background check. This is an optional fee - either in part or in full - off-setting this expense for MOWDR. If you do not choose to cover this charge, it will be absorbed by MOWDR. I am willing/able to make this donation:
I am in good health and free of communicable diseases:
Have you ever volunteered before?
Agreement
I will not divulge or discuss any confidential information including, but not limited to, private health information, financial situation, name, or home address of any MOWDR clients to anyone at any time, except with my volunteer coordinator.
I give permission for any photograph, video, or audio of myself obtained during volunteer activities to be used in informational material for publicity on the web, print and social media and/or training purposes without compensation from MOWDR or its partners.
If I become a volunteer, I understand that my volunteering is terminable at will either by MOWDR or me, regardless of the length of my volunteering.
I will not accept any tips, donations, or gifts from clients.
I will not attempt to sell, proselytize, promote any political opinions, or solicit any services to any clients at any time.
I will contact my volunteer coordinator as soon as possible if there is any change in my availability.
I will return any keys, documents, and property of MOWDR at the end of my volunteer term.
I am at least 21 years of age.
I understand that any misrepresentation or omissions on this application may be considered sufficient cause for rejection of this application. By submitting this form I agree that the statements and conditions above are true and correct.