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YPDSS - Friendly Visitors Volunteer Application

  2. YPDSS Friendly Visitors Volunteer Application

    Thank you for your interest in becoming a YPDSS Friendly Visitor Volunteer!  

    Are you an energetic person?  Do you enjoy playing board games, walking and chatting with a friend?

    We would love to have you join our team of community volunteers!

    Please fill out this form as completely and accurately as possible.  Thank you.

  3. Personal Information
  4. The visits will only take place during day time (office)  hours of 8 am - 4 pm.

  5. Please be sure to answer each of the following >
  6. Please check all that apply to you and your personal circumstance. Are you able to:*
  7. Are you a veteran?*
  8. Do you hold a valid VA Driver's License?*
  9. Do you wish to receive credit for your volunteer hours?*
  10. Emergency Contact
  11. Signature Section
  12. Leave This Blank:

  13. This field is not part of the form submission.