Volunteer Sign-up

Please complete the form below. An Interfaith Caregivers representative will contact you shortly. You will also receive an email invitation to submit information for a background check.

Complete Form to Volunteer

First name

Last name

Email

Mobile Phone

Home Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Birthday

Are there any physical considerations, such as allergies, mobility, or lifting issues that could affect which assignment you can take?

What time are you generally available? Required

Morning

Afternoon

Evening

What are your interests as a volunteer? Required

Companionship (visiting a client)

Respite Care (visiting a client so caregiver gets a break)

Telephone Reassurance

Provide a meal on an occassional basis

Grocery shop for someone

Transportation (appointments, errands, etc.)

Volunteer in Office

Serve on a Committee

Driver's License Number

License Exp. Date

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone

When Interfaith Caregivers applies for grants we are asked to provide general information on the racial backgrounds of clients and volunteers. To facilitate getting this financial support please check as many as you feel apply to you.

VOLUNTEER PLEDGE: Interfaith Caregivers is dependent on a climate of mutual caring and trust. In order to promote and maintain that trust, we must strive to protect the dignity and privacy of everyone we serve. Confidentiality is a principle which ensures the privacy of all who are a part of Interfaith Caregivers. Required

I will not give the telephone number, address or last name of any other Interfaith Caregiver’s volunteer to a client or a client’s family member.

I will not give a client’s name, address or telephone number to anyone outside of the organization without the client’s permission, except in an emergency (e.g., to call an ambulance or the police).

I will not divulge my conversations with a client and his/her family members, or any related conversations that I hear while in the client’s company to anyone, except to the Interfaith Caregivers’ staff if I have concerns for the client’s well-being.