If you would like to learn more about joining one of our programs, please fill out the below Interest Form. We will reach out to you with more details. Volunteer Interest Form First Name Last Name Date of Birth Phone Email Address/PO Box City Zip Code What type of Volunteer Opportunity are you interested in:Senior Companion (volunteering with seniors)Elder Mentor (volunteering with youth) How did you hear about this program? Please select... Facebook Online Advertisement at local school or organization Recruitment table Referred by someone you know Flyer posted in community Other If a current AmeriCorps senior volunteer referred you to the program please provide their name so they can receive a prize! Name of referring AmeriCorp Member Description and date of recruiting event Please describe Additional Comments RurAL CAP does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring, firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, and subcontractors. RurAL CAP intends to provide meaningful access to programs to persons with Limited English Proficiency (LEP), within parameters that do not incur undue burden on RurAL CAP resources. If you have questions or concerns, you may contact RurAL CAP AmeriCorps Seniors at asp@ruralcap.org. Contact Information
