Volunteer Application Form

Please fill out the form below if you are interested in volunteering for our community. Thank you for your consideration.

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  • If “Yes”, for what purpose? How many hours required? By what date? Individual, Group: Is this Student Service Learning?
  • If “Yes”, what kind?
  • List when updated and when you were boosted.
  • List the date.
  • check all that apply
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Please list the person's name, relationship, address, home phone, cell phone, work phone, email
  • Please list the person's name, relationship, home number, cell number and work number.
  • This will count as your legal signature. *Your signature acknowledges that Montevue Assisted Living is a tobacco free campus.
  • **ALL JUNIOR VOLUNTEERS (under the age of 18) Please have your Parent/Guardian sign and date above acknowledging and approving the volunteer orientation process.
  • Important - Please read!

    Please note volunteers who spend 8 hours or more a week in the community are encouraged to have current PPD and flu shot, both of which are offered at the facility free of charge. All applicants must attend a scheduled orientation and have clearances completed before volunteering. Junior volunteers under the age of 14 must be accompanied by an adult during volunteering times. Please email any further comments or questions to Dana Croft at dcroft@citizenssnf.com. Volunteer orientations are held monthly. To set an appointment for an orientation, please call Dana Croft at 240-772-9457 Thank you for choosing Montevue Assisted Living, we look forward to meeting you.