Form Center

2. Name*
3. Date of Birth*
   Date of Birth
5. Address*
7. Phone Number*
8. Email Address*
10. City
11. State
12. Zip Code
14. Volunteer Positions (Check All That Apply)*

    1. Bingo Caller/Assistant: call BINGO numbers and verify winners, set up BINGO cards, sell raffle tickets, put BINGO items away.
    2. Grounds/Garden - plant and water flowers, pick up sticks, plant and maintain community garden.
    3. Group Facilitators: facilitate current programs as well as new ones such as sports, cards and games, and wellness programs.
    4. Lunch Support - help in the kitchen, setting up, serving meals, cleaning up afterwards, etc.
    5. Office Support (on-call): data entry, filing, register members, etc. Confidentiality and background check forms required as volunteers are privy to confidential information.
    6. Party Planner (monthly) - plan fun, all member birthday parties once a month and assist with special holiday parties.
    7. Receptionist: answer phones, greet public, etc. Confidentiality and background check forms required as volunteers are privy to confidential information.
    8. Special Event Assistant: assist with planning and implementation of special events, work on day of event setting up, during, and cleaning.
    9. Tech Club: assist our members with using their phones, tablets, and laptops once a month for one hour.
16. Past Experience
18. Time Commitment*

    1. On-Call

    1. 1-2 Times Per Week

    1. 3-4 Times Per Week

    1. 1 Time a Month
20. Location Preference*

    1. Senior Center Network - Traverse City
    2. Senior Center Nework - Acme
    3. Senior Center Network - Interlochen

    1. Senior Center Network - Kingsley
    2. Senior Center Network - Fife Lake
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