Volunteer Inquiry Form

Our members' safety and well-being is our number one priority, therefore we vet all of our Volunteer applicants and they must pass a criminal background and motor vehicle check. All applicants must submit two current, non-family, references that you have either worked with, for, volunteered with or are considered friends. Please include a phone number for each reference.

We are excited to meet you and will give you a call in the next few days!

Your Information

First name

Last name

Phone

Cell phone

Date of birth

Address

Number

Street

City

State

Zip Code

Additional Information

First Reference

First reference name

First reference relationship

First reference email

First reference cell phone

First reference phone

Second Reference

Second reference name

Second reference relationship

Second reference email

Second reference cell phone

Second reference phone

Previous Volunteer Experience?

Do you have a current and valid drivers license? Do you have current and valid car insurance?

How did you hear about us

Additional Comments

I confirm that I have read, consent and agree to Revolutionaging’s (Helpful Village’s) TERMS OF USE and PRIVACY POLICY

Thank you for your interest

Thank you for contacting us — it’s a pleasure to connect! Our team is committed to providing friendly, professional assistance, and we’ll be reviewing your message right away. You’ll hear back from us soon.