Volunteer Application

At About Care, we are looking for compassionate and caring individuals who want to make a difference in someone’s life. Please fill out the Volunteer Application and we will call you to schedule a brief interview and orientation. Downloadable Volunteer Application

Tab from field to field. Red asterisks indicate required information. Click the Submit button when you are finished.
If you have difficulty filling out the form, please contact our office at 480.802.2331.

Date / Time *

Date

Time

Your name *

First

Last

Birthdate *

Fingerprint Card/ID Card #

Card Expiration Date

Email Address *

Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Cross Streets *

Home Phone *

Cell Phone *

Work Phone

Have you had the COVID19 Vaccination? *

• Yes
• No

Please check all that apply *

• Pfizer
• 1st Shot
• Moderna
• 2nd Shot
• Johnson & Johnson
• Booster Shot

Education *

Major/Degree *

What are your hobbies and interests? *

Are you and/or a family member a Veteran? *

• Yes
• No

Who?

Are you bilingual? *

• Yes
• No

What languages do you speak? *

Place of Employment *

Occupation *

Resume/CV/Certificate – File Upload (Optional)

Click or drag files to this area to upload. You can upload up to 3 files.

Does your place of Employer have a Volunteer Match Program? *

• Yes
• No

Would your employer be interested in partnering with About Care to do a volunteer recruitment presentation? *

• Yes
• No

Please provide employer contact information, name, phone number and email address.

What support services would you like to provide About Care Clients? You may check more than one service. *

• Business Help (Office Helper, Cell Phone Technical Support, IT Support)
• Friendly Visits
• Fundraising (Outreach Volunteer, Booth Events)
• Minor Repairs (Household Tasks: Light Bulb Change, Air Filter Change, Yard Work)
• Reassurance Calls (Wellness Check-up Calls, Friendly “Hello” Calls)
• Respite
• Shopping & Errands (Grocery Shopping Online, Picking Up Medications)
• Transportation ( Grocery Store, Medical Appointments, To/From Work)
• Other Services (Gift Delivery, Mailing Gift Cards)

Please provide a brief description of your "Other Services".

Volunteer Availability – Please check all that apply. *

• Monday: 7AM – Noon
• Monday: Noon – 7PM
• Tuesday: 7AM – Noon
• Tuesday: Noon – 7PM
• Wednesday: 7AM – Noon
• Wednesday: Noon – 7PM
• Thursday: 7AM – Noon
• Thursday: Noon – 7PM
• Friday: 7AM – Noon
• Friday: Noon – 7PM
• Saturday: 7AM – Noon
• Saturday: Noon – 7PM
• Sunday: 7AM – Noon
• Sunday: Noon – 7PM

Emergency Contact 1 *

Relationship to Volunteer

Emergency Contact 2 *

Relationship to Volunteer

Reference Contact 1 *

Reference Contact 2 *

How did you hear about our organization? Please check all that apply. *

• About Care Client
• About Care Volunteer
• About Care Website
• Harkins Theater
• Family Member
• Media (Paper, TV, Radio)
• Social Media
• Healthcare Facility
• Other

Why do you want to Volunteer for About Care? *

I agree to allow About Care, Inc. to use my photograph while providing services for the organization. *

• Yes
• No

Photo Release – I agree to allow About Care, Inc. to use my photograph while providing services for the organization. I acknowledge these pictures may be used for the About Care Website, Social Media, Newsletter, and Marketing Materials. Typing your name into the text box will represent your electronic signature and will be date and time stamped when you submit this application.

Driver's License # *

Expiration Date *

Auto Insurance *

Policy # *

Expiration Date *

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