Services for Older Citizens - Serving seniors in the Grosse Pointes and Harper Woods

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Volunteer Opportunities
Please fill out and submit the form below and a volunteer coordinator will contact you. Fields denoted by '*' are required.

SOC Volunteer Application

*First name:
*Last name:
*Address:
*City:
*Email:
*Phone:
Cell:
Emergency contact:
Emergency contact phone:
*Your age group:
*How did you hear about our program?
*Hobbies or talents:
Community affiliations:
Where else have you volunteered?
Reason for volunteering:
*How often can you volunteer?
If other please state:

I would like to help senior citizens in the following ways:
	Yard work
	Grocery shopping
	Clerical work
	Computer data entry
	Pick up delivery
	Rides to doctor's office
	Friendly visits and calls
	Loan closet

Work experience:
Reference 1:
Reference 1 relationship:
Reference 1 phone:
Reference 2:
Reference 2 relationship:
Reference 2 phone: