To apply for a volunteer position at Elm Terrace Gardens, please complete the following form, or call us at (215) 361-5642. Send E-mail to volunteer@etg-ccrc.org.

Return to the Volunteer Program page.

First Name:
Middle Name:
Last Name:
Address Line 1:
Address Line 2:
City:
 State:
Zip Code:
 Phone Number:

Age Group:
Under 18 18-25 25-65 Over 65
1.Occupation:
2.Employer:
Business Phone:
3. Activities:
4. Hobbies, Special Skills, and Interests:
5. Previous Volunteer Experience:
6. What hours/days are you available?
7. Person to Contact in Case of Emergency:
Name:
 Relationship:
Address:
Physician:
  
Phone:
Phone:
8. List any handicap you may ask us to accommodate as a volunteer:
9. How did you hear about Elm Terrace Gardens?
10. What would you like to achieve by volunteering at Elm Terrace Gardens?
 11. Do you have experience working/relating with older individuals? If so, please describe:
12. Please list two references (maximum of one relative, please):
Name:
 Phone:
  
Relationship:
How Long Known:
Name:
 Phone:
  
Relationship:
How Long Known:
Volunteer Agreement. In applying to be a volunteer at Elm Terrace Gardens, I accept the following responsibilities:
  1. To participate in your volunteer training program;
  2. To become familiar with and follow all policies and procedures that apply to volunteers;
  3. To become familiar with and respect residents rights at all times;
  4. To fulfill the commitments I make as a volunteer, as fully as I am able.
  5. To keep all Elm Terrace Gardens information strictly confidential, and to discuss such information with staff and volunteers only as absolutely necessary. I understand any information not kept confidential will result in my immediate dismissal.

By checking this box, I agree to accept the above responsibilities.

Date: