Fairfield Cares. A community of seniors supporting each other as they age in their own homes

Fairfield Cares Helpful Village
Volunteers Application Form

To apply to become a Fairfield Cares Helpful Village Volunteer, please fill in the following form and click the SEND button at the bottom of the page.

First name

Last name

Phone

Cell phone

Date of birth

Number

Street

City

State

Zip Code

Areas of Interest for Volunteers

Bring Home Cooked Meal

Friendly Phone Call

Friendly Visit

Gardening

Grocery/Meal deliver

Handy Person

Help with Android phones and PCs

Help with Apple iPhone and Macs

Home from Hospital

Incognito

New Mom

Organizing

Patient Advocacy

Pet Care

Reading Aloud

Respite Care

Shopping

Transportation

Trips to Friends

Wellness Check

Volunteer for Fairfield Cares

Answering Phones

Data Entry

Envelope Stuffing

Organize Events

Phone Outreach

First reference name

First reference email

First reference cell phone

First reference phone

First reference relationship

Second reference name

Second reference email

Second reference cell phone

Second reference phone

Second reference relationship

Previous Volunteer Experience?

Do you have current and valid drivers licence?

Do you have current and valid car insurance?

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 your interest and we will be in touch with you very soon!

Online Volunteer Application

Areas of Interest for Volunteers

Volunteer for Fairfield Cares

Additional Comments

Thank you for your interest