Ayre Manor Volunteer Application

Complete the following form to apply to volunteer at Ayre Manor, where we have a variety of opportunities helping our senior residents. One of our Volunteer Coordinators will contact you as soon as possible.

For the protection of Ayre Manor residents, a criminal record check must be completed on you prior to acceptance as a volunteer.

* REQUIRED

Contact Information

Name:
Address:
Phone:
Cell:
Email:
Birthday:

Emergency Contact:
Name:
Relationship:
Phone:
Cell:

Volunteer Opportunities

How did you learn of volunteering at Ayre Manor?

Why do you want to volunteer at Ayre Manor?

Do you have experience working with seniors? Please elaborate.

What are your skills, interests, and hobbies that may be useful for volunteering with Ayre Manor?

Please list any certifications you have:

Scheduling & Commitment

Your dependability as a volunteer at Ayre Manor is very important to our staff and residents. Can we count on you to be here consistently at mutually agreed upon times to volunteer?

Yes!

If not, why would you have trouble doing so?

Family commitments
Disability issues
Transportation issues
Forgetfulness (need a reminder)

What days of the week and times (mornings or afternoons) are you available to volunteer?

When can you begin?

References

Name:
Phone:
Relationship:

Name:
Phone:
Relationship: