Volunteer for Friendly Visitors Program

Konocti Senior Support, Inc.

Welcome
Senior Peer Counseling
Friendly Visitors
Volunteer
About Us
Distinctly Mature Blog

Welcome
Senior Peer Counseling
Friendly Visitors
Volunteer
About Us
Distinctly Mature Blog

Friendly Visitor application

Please complete all the fields below and submit online

Name*

Phone number*

Email Address*

Date of Application*

Are you at least 20 years of age?*

YesNo

Why are you interested in becoming a Friendly Visitor? Please describe.*

Have you had experience with aging parents, grandparents, etc? Please describe.*

What qualities do you have that you feel would help you relate well with seniors?*

Do you have any health or transportation problems that need to be addressed in order for you to participate in this program? Please describe.*

List some of your previous employment/volunteer activities that relate to seniors or homebound persons.*

This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you! Your message was sent successfully.

Welcome
Senior Peer Counseling
Friendly Visitors
Volunteer
About Us
Distinctly Mature Blog

Konocti Senior Support, Inc.

/

Lightbox image