VOLUNTEER APPLICATION
Tri-County Office on Aging
5303 S. Cedar Street
Lansing, MI 48911-3800
Volunteer Information: (517) 887-1382

Date:

Name:

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Address: Michigan, Zip code:
Daytime Phone (include area code):
Social Security Number: Birthdate:
Emergency Contact Name: Phone (include area code):
Employment background (present and past employers, and positions held):
Volunteer Experience (agency name and volunteer role):
Personal References (other than a relative):

Due to the vulnerability of in-home clients, our policy is to run State Police background checks (for felony convictions) on all volunteer applicants.

Tri-County Office on Aging
Volunteer Opportunities
(Check your areas of interest):
Meals-On-Wheels volunteers - drive your own car or go with a partner and deliver hot lunches to clients who are unable to prepare their own meals. Most volunteers drive one noon hour a month, others prefer to deliver more often. Mileage reimbursement is a available.

Medicare/Medicaid Assistance Program volunteers - help clients with questions and concerns about Medicare, medical bills, long term care insurance, Medigap and Medicaid.

Tax Assistance volunteers - complete tax forms for seniors.

Crisis Services for the Elderly volunteers - human service professionals take one-week shifts quarterly (day or evening hours) and respond to non-medical emergencies.

Dining Site volunteers - help dish up food at dining sites across tri-county area. Also needed are individuals to help with educational and entertainment programs for the sites.

Kitchen and dish-up site volunteers - the central kitchen in Lansing and area dish-up sites may need help prepping food or putting up individual meals from bulk food.

Snow shoveling and lawn care volunteers - assist homebound elderly by shoveling snow, raking, mowing and or trimming.

Major gift volunteers - meet with local business and organizational leaders to ask for donations, goods and services and volunteers to support in-home services.

Golf outing volunteers - plan annual Meals-On-Wheels outing; soliciting prizes and sponsors.

Auction and raffle volunteers - a joint committee plans annual Meals-On-Wheels benefit, featuring silent and live auction and raffle drawing. Committee members brainstorm auction packages, solicit items and oversee raffle sales.

Companion/Friendly Visiting - volunteers visit clients on a one-to-one basis.

Propose your own volunteer role - if you have unique talents that don't seem to fit the listed volunteer positions, but think you could help us out, let us know!