5303 South Cedar, Lansing, MI 48911
(517) 887-1440
Contact Us
Employee Login
Facebook
Twitter
Search
Search
Close this search box.
Home
About
Services
Resources
Documents
Events
Volunteer
Employment
Contact
Donate
Menu
Home
About
Services
Resources
Documents
Events
Volunteer
Employment
Contact
Donate
Volunteer Application
You are here:
Home
/
Volunteer
/
Volunteer Application
Each year, hundreds of volunteers share their time and talents.
Name
*
First
Middle
Last
Email
*
Enter Email
Confirm Email
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
Work Phone
Cell Phone
How did you hear about TCOA volunteer opportunities?
*
From a current or former TCOA/Meals on Wheels volunteer
From a current or former TCOA Client
From a current or former TCOA Staff Member
TCOA Website
Social Media
External Website (United Way, VolunteerMatch, LinkedIn, etc.)
Saw a flyer
Read in a news article or heard on TV/radio
I am part of a student or business group doing a one-time Special Event
Other
How would you like to receive reminders about your upcoming volunteer shifts? Check all that apply. (Meals on Wheels only)
Text
Email
Phone Call
You may change your preference at any time by contacting your Meals on Wheels volunteer coordinator.
Volunteer Experience (Agency/Organization Name and Volunteer Role)
Personal References (Name, Email, and Telephone number for Two or More Individuals Other Than a Relative)
*
Employment Background (Present and Past Employers and Positions Held)
Volunteer Positions
*
Nutrition Program (Meals on Wheels):
Drive your own car or go with a partner and deliver lunches to clients who are unable to prepare their own meals. Most volunteers drive one lunch hour a month, others prefer to deliver more often. Mileage reimbursement is available. Routes take about 1 hour.
Nutrition Program (Dining Sites):
Help dish up food at dining sites across the tri-county area. Also needed are individuals to help with educational and entertainment programs for the sites.
Nutrition Program (Central Kitchen):
Help prepare food or package individual meals.
Senior Proxy Project:
Proxy Project volunteers deliver boxes of food and fresh produce to seniors' homes, assist in the office, or help with outreach.
Medicare/Medicaid Assistance Program:
Meet with clients and take hotline callers who have questions and concerns about Medicare, medical bills, long-term care insurance, Medigap and Medicaid.
Workshop Facilitators/Trainers:
Facilitate evidence-based workshops or programs by leading groups and sharing health and wellness information. Specific topics may include caregiver support, caring for someone with dementia, the fear of falling, chronic pain, and diabetes management. Training is provided.
Special Events:
Plan and/or participate in the annual Meals on Wheels Golf Outing and/or TCOA Dinner and Auction. Solicit sponsors, secure prizes and items for live and silent auctions, assist with raffle sales, and/or volunteer on event day.
General Administrative Volunteer:
Participate in general office duties such as data entry, stuffing envelopes, and/or placing phone calls to gather and update resource information.
Friendly Reassurance Calls:
Receive a list of older adult TCOA clients that you call about once per week. The purpose of the call is a friendly chat to reduce social isolation.
Propose your own Volunteer Role:
Propose Your Own Custom Volunteer Role
*
Consent for Information
*
By checking this box, I understand that Tri-County Office on Aging conducts criminal history background checks on all volunteers, and that additional information may be requested in order to review my driving record and "conviction only" criminal history. I understand that the information provided here and any additional information obtained by Tri-County Office on Aging will be kept strictly confidential.
By checking this box, I agree to maintain confidentiality in the event that I come into contact with any personally identifiable information and/or protected health information of clients.
By checking this box, I give permission to Tri-County Office on Aging to contact my references using the contact information I provide on this form.
Background Check Consent Form
I give my permission for the following information to be used by Tri-County Office on Aging to secure information regarding my "conviction only" criminal history. I understand that the information provided below will be kept confidential and used for the sole purpose of checking my criminal history records every three years. Any information obtained by Tri-County Office on Aging will also be kept strictly confidential.
Name
*
First
Middle Initial
Last
Date of Birth
*
MM slash DD slash YYYY
Sex
*
Male
Female
Race
*
Select your race...
American Indian or Alaskan Native
Asian or Pacific Islander
Black
White
Unknown or Other
Ethnicity
*
Hispanic or Latino
NOT Hispanic or Latino
Have you lived outside the state of Michigan in the last 7 years?
*
No
Yes
If yes, we will contact you for additional information.
Alias names used, including previous married names or maiden name:
Signature
*
By typing your name above, you agree that your electronic signature is the legal equivalent of your physical signature.
Date
*
MM slash DD slash YYYY
Thank You
TCOA staff attempt to reply to volunteer inquiries within 1-3 business days. If you have not heard back from TCOA within a week, please check your spam/junk folder, then call 517-887-1487. If you would prefer to mail in your application and background check consent form, please see the downloadable link below.
Phone
This field is for validation purposes and should be left unchanged.
Δ
Skip to content
Open toolbar
Accessibility Tools
Accessibility Tools
Increase Text
Increase Text
Decrease Text
Decrease Text
Grayscale
Grayscale
High Contrast
High Contrast
Negative Contrast
Negative Contrast
Light Background
Light Background
Links Underline
Links Underline
Readable Font
Readable Font
Reset
Reset