Department For The Aging
Volunteer Site Application
Organization/Agency Name
Location/Center Name
Street Address
Suite, Floor, Room #
In what zip code do you operate?
Borough
Bronx
Brooklyn
Manhattan
Queens
Staten Island
Contact Name
Phone
Email
Do you operate in a TRIE neighborhood (Taskforce on Racial Inclusion & Equity)?
TRIE Neighborhood Lookup
Yes
No
In which Community District(s) is your agency?
Find Your Community Board - Community Boards (nyc.gov)
How many Silver Corps volunteers would you like placed at your site?
How many days per week can they volunteer?
How many hours per day?
Is your facility Handicap Accessible?
Yes
No
Is there a specific requirement/skill that you require the volunteer to possess?
Is there a specific language requirement needed?
Provide name, title, email, and telephone of onsite Supervisor
Provide name, title, email, and telephone of backup to onsite Supervisor
In-Kind contribution: we ask community partners who are able to contribute to the program by either
Onsite training or learning
Other
How many volunteers will you be providing meals for on a weekly basis?
How many meals are you providing these volunteers on a weekly basis?
What is the cost of each meal?
How many volunteers will you be providing travel for on a weekly basis?
How many trips are you providing these volunteers on a weekly basis?
What is the cost of each trip?
How many volunteers will you be providing annual physicals for?
What is the cost of each physical?
Other
Submit