We are here to answer your questions and would love to hear from you!

Volunteer Interest Form

Valley Cares Needs You! We have many opportunities at Valley Cares. We will provide you with training and support as needed. Please fill out the following information and we will contact you.

You may fill out and submit this online volunteer form OR Print the form and mail it to: Valley Cares, PO Box 341, Townshend, VT 05353.

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On what start date would you be available to volunteer? *
Days and Hours Available: (I will notify Valley Cares should my availability change.) *
Shift Sun Mon Tue Wed Thu Fri Sat
Mornings
Afternoons
Evenings

Summary of Work Experience & Prior Volunteer Experience (if any).


Some ways to get involved: (check if interested)

Social/Recreation

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Arts and Crafts

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Music

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Dance/Movement/Exercise

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Arm Chair Traveler

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Education

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Spiritual

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Transportation/Community Involvement

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Other

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REFERENCE (Please list a personal reference not related to you.)

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VOLUNTEER ACKNOWLEDGEMENT AND AUTHORIZATION

*PLEASE READ CAREFULLY BEFORE SIGNING*

Please note: Since our residents are considered a "vulnerable population," we also ask your permission to do background checks with the Adult and Child Abuse Registries as well as the Vermont Criminal Information Center. We will discuss this with you.

I herby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to Valley Cares, Inc. and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

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Name and number of person completing this form if other than volunteer:


Type the Security Image then click SEND APPLICATION:

* Security Image

VALLEY CARES, INC. IS PROUD TO BE AN EQUAL OPPORTUNITY PROVIDER. ALL VOLUNTEERS WILL RECEIVE CONSIDERATION WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, DISABILITY, VETERAN STATUS OR ANY OTHER STATUS PROTECTED BY LAW.