Site Interest Form The Rural Alaska Community Action Program (RurAL CAP) provides volunteer opportunities for older adults (ages 55+) to give back to their communities. The program relies on partnerships with volunteer host sites. Host sites can be schools, pre-k education, afterschool programs, senior centers, non-profits, health posts, etc. Host Sites designate a site supervisor to support the volunteers. Two volunteer programs are currently available: The Elder Mentor Program and The Senior Companion Program. Elder Mentors volunteer in schools, Head Starts, or Afterschool Programs as a positive role model and mentor for youth. Senior Companions volunteer with seniors who need extra assistance to lead healthy independent lives. Both programs provide a non-taxable stipend to income eligible volunteers. If you are interested in partnering with our program please complete the information below. First Name Last Name Title Work Phone Work Email Organization Information Organization Name Address/PO Box City Zip Code Which program are you interested in learning more about?Please select... Elder Mentor Program (Serving with youth) Senior Companion Program (Supporting other elders) Typically, volunteers are placed with Sites by staff but we also encourage sites to recruit Elders they want to work with. If there is an Elder you are interested in working with please share their name(s) below. Is there anything else you'd like to share? 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