Volunteer Application Form

Thank you for your interest in volunteering with our Village!

Volunteers are at the heart of our community, helping older adults remain independent, active, and connected. Whether providing a ride, helping with a household task, assisting with an activity, or simply sharing time and conversation, your support makes a meaningful difference.

This application helps us learn about your interests, skills, and availability so we can connect you with opportunities that are a good fit. Thank you for sharing your time and talents with our community!

Please note: Applicants must be 18 or older. Students under 18 can participate but a guardian must apply as the "volunteer." Once processed the guardian will supervise the student during the service.

Your Information

First name

Last name

Phone

Cell phone

Date of birth

Gender

Local village

Address

Number

Street

City

State

Zip Code

Additional Information

Do you have a current and valid drivers license?

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.