Please select the days and times you would be available to volunteer
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, disability or military status. All volunteers must submit a negative PPD test result for tuberculosis exposure not more than six (6) months old or an appropriate physician’s clearance. This volunteer position will require a criminal background check clearance and TB test.
Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. The above information is accurate and correct to the best of my knowledge. I hereby allow Institute on Aging to perform reference checks and/or verify any information provided on this form. I hereby also extend my permission to those individuals or organizations contacted for the purpose of this reference check to give their full and honest evaluation of my suitability of the described volunteer / intern work and such other information as they deem appropriate. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.