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Become a Volunteer Questionnaire
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Volunteer Services
If you are not already an active volunteer for Monte Sano Village, please give us your address and telephone number(s) so we may contact you to arrange an interview.
Last name, First name
Email address
Please mark below those areas that you are interested in participating as a volunteer.
Home maintenance
Includes assisting members with small chores in and around the house such as installing a light bulb, moving a piece of furniture, repairing a mailbox, hanging a picture, etc.
Yes
no
Comments
Illness related services
Includes infrequent services associated with a member's illness or hospitalization. Examples are participation in a meal train during a member's illness, taking items to the hospital or being present when a hospital procedure requires an attendant.
Yes
No
Comments
Personal Support
Includes services which are more specific to the member and difficult to define ahead of time. Examples include problems associated with vision impairment, mobility issues, information support, friendly visits, etc.
Yes
No
Comments
Severe weather support
Includes infrequent services associated with severe weather. Examples are checking on a neighbor in severe weather, providing for heat or food or alternate location, moving weather debris to the street, and ice or snow removal.
Yes
No
Comments
Technology
Includes h
elping members with technology problems such as the internet, a phone (landline or cell), a radio, a computer/ tablet, a sound system, etc. In the comments below, please indicate if you are limited to only one system: Mac or PC.
Yes
No
Comments
Transportation
Includes taking members to medical appointments, errands (hair appointments, grocery shopping, banking), events on Monte Sano, and the airport.
Yes
No
Comments
Vacation Support
Includes infrequent services associated with a member's absence due to vacation. Examples are outside pet monitoring, house monitoring, and/or watering plants.
Yes
No
Comments
Village Assistance
Includes assistance to provide hosting for social activities, help in setting up programs, providing or preparing refreshments for member activities, taking pictures at events, providing help with program presentation (setting up PA or slide show equipment), writing articles, helping with website or social media material, etc.
Yes
No
Comments
Weekly Update Delivery
Includes delivery of the the weekly email update to 2-4 members for a period of one month.
There are a few members who do not not use email or the internet.
Volunteers are encouraged to offer a friendly hello or a short visit if the member is home.
Yes
No
Comments
Weekday Availability
Please indicate your weekday availability. You may check more than one time period. If you have any exceptions, please list them in the comments. For example, if you are usually available on weekday mornings, but have a conflict on Mondays, make us aware of this in the comments.
morning 8am -11am
lunch 11am - 2pm
afternoon 2pm - 5pm
evening 5pm - 8 pm
not available
Comments
Weekend Availability
Please indicate your weekend availability. You may check more than one time period. If you have any exceptions, please list them in the comments. For example, if you are usually available on weekend mornings, but have a conflict on Sundays, make us aware of this in the comments.
morning 8am -11am
lunch 11am - 2pm
afternoon 2pm - 5pm
evening 5pm - 8 pm
not available
Comments
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