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Volunteer Application

Volunteer Application

Would you like to receive Senior Services printed newsletter and monthly E-News bulletin?

If yes, please specify which one:

Please list any specific SKILLS which may be utilized while volunteering:

Please list specific volunteer INTERESTS:

I am interested in learning more about the following volunteer opportunities (check all that apply):

Check all that apply:

Please list all organizations for whom you have volunteered in the last 5 years:

Are you a member of the military or a veteran?

Because of the nature of its services to vulnerable populations, it is Senior Services policy to request a criminal background check for all agency employees and volunteers. Please note your understanding of this policy by electronically signing your initials in the box below.

Please electronically sign and date your application below. By entering your signature, you electronically acknowledge your interest in volunteering, and submission of your application to Senior Services of Southeastern Virginia. Electronic applications without dates and signatures cannot be considered.

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