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AmeriCorp Seniors
Retired and Senior Volunteer Program of Collier County
RSVP VOLUNTEER APPLICATION
First name
Last name
Driver's License #
Phone
Street Address
Street Address Line 2
City
State
Zip code
Date of Birth
Are you a year-round resident?
Yes
No
What kind of work do you/did you do for a living?
Describe any volunteer experience you have.
What are some of your favorite hobbies that you would be willing to share as a volunteer?
Please share why you want to volunteer and how you learned about RSVP.
Educational Status
Educational Status
Would you be interested in volunteering for the RSVP Advisory Council?
Yes
No
T-shirt size:
T-shirt size
Interest Checklist - Choose all that apply:
Children
Adults
Families
Veteran Services
Drive veterans to appointments
Tutoring/Mentoring
Recreational activities
Food assistance programs
Senior companionship
Healthcare
Disaster/Emergency preparation
Leading workshops/teaching
Accounting
Marketing
Research
Intake assistance
Clerical
Info desk / answer phones
Skilled trades
Fitness
Federal Diversity Reporting Requirements: (The following information is for statistical purposes only. Providing this information is voluntary.
Race
Ethnicity
Marital Status
Are you a veteran?
Are any members of your family veterans?
Are you a widowed veteran?
Please let us know if you require any accommodations under the Americans with Disabilities Act:
Person to notify in case of emergency:
Do you authorize AmeriCorps Seniors RSVP of Collier County to use and publish photographs of yourself volunteering for promotional purposes?
Make your choice
Equal Opportunity will be a fundamental principle of this organization, where volunteering is based upon personal capabilities and qualifications without discrimination because of race, color, religion, gender, age, national origin, disability, or any other protected characteristic as established by law. BY ENTERING YOU NAME BELOW, YOU ATTEST THAT ALL THE INFORMATION IS CORRECT.
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