Volunteer Application Form

Please fill out the application below to apply as a volunteer with Village Collective.

Please note that you only need to fill out the Driver's License information if you wish to provide rides to Village members.

Once your application has been reviewed, you may be sent an email with a link to complete your background check.

Your Information

First name

Last name

Phone

Cell phone

Date of birth

Address

Number

Street

City

State

Zip Code

Areas of Interest for Volunteers

Friendly Visit Home Maintenance New Member Check-In Other Technology Help Transportation Wellness Check (Phone Call)

Additional Information

First Reference

First reference name

First reference relationship

First reference email

First reference cell phone

First reference phone

Previous Volunteer Experience?

Do you have a current and valid drivers license? Do you have current and valid car insurance?

Additional Comments

I confirm that I have read, consent and agree to Revolutionaging’s (Helpful Village’s) TERMS OF USE and PRIVACY POLICY

Thank you for your interest

Thank you for contacting us — it’s a pleasure to connect! Our team is committed to providing friendly, professional assistance, and we’ll be reviewing your message right away. You’ll hear back from us soon.