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Are you at least 18 year of age?
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Considerations such as pet allergies, difficulties with stairs, etc., that would affect the kinds of volunteer assignments with which you are comfortable:
Languages spoken other than English:
Availability & Interests
Indicate the direct service volunteer opportunities of interest to you:
Check all that apply
Computer/Phone Tech Support (PC, Mac, iPhone, Android)
Decluttering (requires additional training)
Driving
Errands (grocery, pharmacy, post office, etc.)
Handyperson (fixing leaky faucets, installing grab bars, assembling furniture, etc.)
Indoor Household Tasks (changing light bulbs, hanging pictures, moving small furniture, organizing paperwork, etc.)
Medical Notetaking (requires additional training)
Outdoor Household Tasks (seasonal cleanup, garden preparation, trimming, etc.)
Pet Care (short-term feeding and walking)
Plant Care (short-term watering)
Smart Home Tech Support (smart thermostat, video doorbell, Alexa, alarm system, etc.)
Recruiting Local Merchants for the Community Discounts Program
Planning & Recruiting for Guest Speaker Events
Other Volunteer Interests (Interests, hobbies or special skills you could share with Village members:
Times generally available to volunteer:
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Weekday Evenings
Weekends
Indicate the organizational volunteer opportunities of interest to you:
Check all that apply
Fundraising
Legal Advice
Marketing & Communications
Planning & Recruiting for Guest Speaker Events
Recruiting Local Merchants for the Community Discounts Program
Social Media Planning
Volunteer Drivers ONLY
Please email a copy of your driver’s license (both sides) and your proof of auto insurance coverage to operations@silverspringvillage.org. You mail also send them by mail to Silver Spring Village, 8700 Georgia Ave, Ste 306, Silver Spring, MD 20910.
Driver’s License State:
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Select one
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Driver’s License Number
*
Driver’s License Expiration Date:
MM slash DD slash YYYY
Auto Insurance Carrier
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Auto Insurance Policy No.
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Emergency Contacts
Contacts
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Click the blue + sign to add additional emergency contacts.
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References
Please provide two references (other than relatives) who have known you for at least two years. If possible, include at least one person who has supervised your work in a paid or volunteer capacity.
References
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Anything we missed?
Feel free to share additional information about interests, skills or hobbies you’d like to share with Village members, other ideas about how you’d like to help, or thoughts about unmet needs of older adults in Silver Spring!
Volunteer Agreement
*
Silver Spring Village (the “Village”) is a 501(c)(3) nonprofit Maryland corporation with a purpose to sustain a robust network of neighbors-helping-neighbors that supports older adults who wish to live as independently as possible and be fully engaged in their community as they age. The Village accomplishes its mission by offering an array of social, educational, recreational, and cultural activities and third-party vendor recommendations for all members; and volunteer-provided direct services for Full Members only.
The Village will complete criminal background and reference checks on me. It will also complete a driving history check if I have indicated an interest in serving as a volunteer driver.
Volunteers may not provide personal care services or home services that typically require a licensed professional.
The Village may use my likeness, including but not limited to photographs and video and audio recordings, in both print and electronic form for promotional purposes. Village events occurring in public spaces carry no expectation of privacy.
I acknowledge the privacy and dignity of all Village members and volunteers and, other than communicating essential information to the Director of Volunteer Services, will maintain strict confidentiality regarding any personal information that I may learn in the course of volunteering.
I will not knowingly endanger the life, health or safety of any Village member or volunteer.
I will not use my association with Silver Spring Village for personal gain and will not conduct myself in any way that negatively affects public confidence in the Village.
In exchange for an applicant’s acceptance as a volunteer by the Village, the applicant agrees to indemnify and hold harmless the Village against any and all loss, expense, and liability arising from or in any manner related to the Village’s performance and that of its agents and the activities of any member or other volunteer.
I have read and understand the above terms and conditions of volunteering, and agree that I and my heirs, successors, agents, and legal representatives are bound by said terms and conditions.
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