Home
Who We AreToggle submenu
What We Do
Success Stories
VolunteersToggle submenu
- Volunteering at WFIA
- Volunteer Application
Special Events

Home
Who We AreToggle submenu
What We Do
Success Stories
VolunteersToggle submenu
- Volunteering at WFIA
- Volunteer Application
Special Events

SENIOR RESOURCES
JOBS
CONTACT

Volunteers Serve. Seniors Thrive.

Home
Who We Are
What We Do
Success Stories
Volunteers
- Volunteering at WFIA
- Volunteer Application
Special Events

Volunteer Application

Step 1 of 6

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Contact Information
First Name
Last Name
Preferred First Name
Date of Birth
Address
Street Address City State ZIP Code
Neighborhood
County
Geographic Area
Other Area
Primary Email
Home Phone Number
Cell Phone Number
Work Phone Number
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone

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Vehicle Information
Vehicle Type
- Compact Car
- Mid- to Full-Size Car
- Low SUV/Van
- High SUV/Van
- Small Pickup Truck
- Large Pickup Truck

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Availability
Sunday
- Morning
- Afternoon
- Evening
Monday
- Morning
- Afternoon
- Evening
Tuesday
- Morning
- Afternoon
- Evening
Wednesday
- Morning
- Afternoon
- Evening
Thursday
- Morning
- Afternoon
- Evening
Friday
- Morning
- Afternoon
- Evening
Saturday
- Morning
- Afternoon
- Evening
Other
Are you willing to be called for short notice assignments?
- Yes
- No

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Areas of Interest
Check all areas you are interested in volunteering
- Local Transportation
- Transportation to the Peninsula
- Transportation to Richmond
- Minor Home Repairs
- Yard Work
- Care Giver Support
- Paperwork for Care Receivers
- Telephone Calls
- In-Home Visits
- Shopping for Care Receivers
- Visiting Canines
- WFIA Office Support
- Household Chores

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Pet Information
Check all that apply
- Allergic to cats
- Allergic to dogs
- OK with pets in home
- Willing to transport pets

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Misc. Information
Ethnicity
- African American
- Asian
- Caucasian
- Chinese
- Filipino
- Hawaiian
- Hispanic
- Indian
- Japanese
- Korean
- Native American
- Pacific Islander
- Other
Are you a veteran?
- Yes
- No
Are you a smoker?
- Yes
- No
Are you allergic to cigarette smoke?
- Yes
- No
Do you give permission to WFIA to use your name/image in print or on the Web?
- Yes
- No
Congregation you are affiliated with
Interests/Hobbies
List other languages you speak
Occupation
List any physical limitation we should consider in making your assignments
List any convictions or viloations of any laws, traffic or otherwise
Name
First Last
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Home
Who We Are
What We Do
Success Stories
Volunteers
- Volunteering at WFIA
- Volunteer Application
Special Events

SENIOR RESOURCES
JOBS
CONTACT

GIVE US A CALL

757-258-5890

Williamsburg Faith In Action

354 McLaws Circle, Suite 1

Williamsburg, VA 23185

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