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Volunteer Application

Download a pdf version of the Volunteer Application or fill it out online below.



Online Volunteer Application

Volunteer Information


Name (First):
Name (Last)
Spouse's First Name
Home Phone:
Cell phone
Address:
City:
Zip:
Email:
Birthdate:
Gender
 Male  Female
May we use your photo for publicity?
 Yes  No

Do you have health or physical conditions to be considered in arranging volunteer activities?

Please Explain:
Are You a Military Veteran?
How did you learn about RSVP?
Emergency Contact (Name, Relationship, Phone Number):

Volunteer Benefits

Do You Drive?
Yes 
No 

All RSVP volunteers are covered by supplemental insurance including excess automobile liability, personal liability, and life insurance. This information will be kept confidential, but is needed in order for RSVP to provide these benefits.

If yes, please provide your driver's license number

If you don't drive, please type NA on the Driver's License Number Field above

 

Do you have automobile liability insurance?
Yes 
No 
Auto insurance provider

If you do not drive, please type NA on the Auto Insurance Provider field above.

RSVP volunteers are eligible to be reimbursed for mileage and meal expenses incurred while volunteering. Ask how you can request these reimbursements.


Personal Skills/Qualifications

Skills/qualifications can be acquired through employment, previous volunteer work,  and other activities such as hobbies or sports.  Use the blank spaces to fill in other skills.

Previous Occupation(s)

Please check the boxes that apply to your skills, experiences, hobbies, and/or interests:


 
Receptionist
 
Mail Prep

Folding, sorting, stuffing

 
Office Support

Taking calls, filing

 
Information Technology (IT)
 
Data Entry
 
Creative Writing
 
Public Speaking
 
Fundraising
 
Mentoring/tutoring
 
Photography
 
Gardening
 
Driving
 
General maintenance
 
Carpentry
 
Arts and/or Crafts
 
Accounting
 
Money Management
 
Bilingual
 
Music
 
Cooking/baking
 
Other
 
Do you or have you ever had to report to a Probation Officer?
If yes, please explain below:

Place an "X" in the box next to volunteer activities you may be interested in.  Please note that this is a general list of possible assignments and that some of these activities may not be available at all times or in your geographical area.

EDUCATION:

Library Services
Assist at public or school libraries
Literacy
Assist elementary students with reading
Pre-School/Head Start Assistance
Assist pre-school students with Kindergarten readiness
Mentoring
One-on-one friendship and guidance
Pen Pal Program
Interact with students through letter-writing
Present Educational Programs
i.e., Speak Up!: Public Speaking Instruction
Other Tutoring
Assist students with homework

PUBLIC HEALTH/SAFETY AND EMERGENCY PREPAREDNESS:

Assist Law Enforcement
Fingerprinting, clerical, jail visitation program, data entry, staff tip hotline, manage volunteer search teams, etc.
Community Education Team
Conduct presentations on emergency preparedness for children and adults
Public Health Response
Assist a immunization or treatment clinics
RSVP Volunteer Management for Emergencies
Be trained to staff a non-emergency phone bank and/or assist with the intake of community volunteers responding to an emergency (Story County)

HEALTH/WELLNESS/NUTRITION:

Home Delivered Meals
Deliver hot meals to homebound seniors
Senior Fitness Exercise Leader
Be trained to lead senior fitness classes (Hamilton County)
Community Garden
Help with and/or teach children how to plant, care for, harvest, and use garden produce (Marshall County)
Hospital/Nursing Home/Hospice
Assist with a variety of assignments and activities at area medical facilities
Pantries/Thrift Stores
Collect, organize, and shelve food or clothing
RSVP Transportation Program
Provide residents with rides to medical appointments and other essential services (Story County)

COMMUNITY PRIORITIES AND SPECIAL PROJECTS:

Bill Payer/Representative Payee
Assist seniors or disabled adults with bill paying and/or managing accounts
Help with Community/Annual Events
Iowa Games, Special Olympics, 4-H Programs, etc.
Environmental Projects
Participate in park and trail clean-up
Clerical/Receptionist
Answer phone, greet public, filing
Computer Assistance
Data entry, instruction, IT support
Mailings/Newsletters
Help assemble mailings
Winter Weatherization Project (annual)
Assist with auditing and/or weatherizing homes of low income and frail elderly residents

ADDITIONAL CENTRAL IOWA RSVP SPECIFIC OPPORTUNITIES:

RSVP Community Outreach
Help conduct: RSVP Presentations, Transportation Program Client Assessments/Home Visits, Volunteer Opportunity
Office Assistance
Data entry, office coverage (greet, answer the phone), facilitate newsletter mailing.
RSVP Staff Support
Make calls, collect timesheet, aggregate data, conduct online research (i.e. volunteer background checks), assist with scheduling transportation program trips, etc .

Story City Senior Citizens, Inc.
Sponsoring Agency of
Central Iowa RSVP 

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