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Description
Be a Canopy Volunteer Driver!
Volunteering with Canopy is flexible and based on your schedule and availability. It's a perfect opportunity to volunteer when you want without pressure. Canopy allows flexibility to volunteer if you are a snowbird, in school, travel or have other life commitments.
Our services include vital transportation to medical and other places necessary to age in place gracefully. Interactions with our volunteers – who often become friends – also provide a crucial social touch. The other component of our services includes the social programming necessary to stave off the social isolation that often affects an older population and leads to poor health outcomes.
Call Wendy Fredricks @716-235-8133 or email me at wendy@canopyofneighbors.org to chat about the possibilities.
Want more information? Check us out at www.canopyofneighbors.org
Become a Canopy volunteer today!
Location
Associated Location
One Symphony Circle
How to Volunteer for This Opportunity
Canopy of Neighbors Volunteer Application
Application Date: _____________
Volunteer Name: _____________________________________
Home Address: _______________________________________ Number/Street
_____________________________________ City/State/Zip
Mailing Address (If different from home address): _______________________________________________________ Number/Street
_____________________________________________________ City/State/Zip
Email address: _________________________________
Home Telephone: _______________________________
Mobile Telephone: ______________________________
Work Telephone: _______________________________
Volunteer Emergency Contact(s) Information:
Emergency Contact Name:
Emergency Contact Phone: _________________________________________
Emergency Contact Address: _____________________________________Number/Street
_______________________________________ City/State/Zip
Relationship to Emergency Contact: _______________________
Are you volunteering to drive Canopy members? Yes___ No___
If yes, by signing this form you understand you are required to maintain both collision and general liability coverage on any vehicle used to transport a member as required by New York State law. You are required to notify Canopy if there is any lapse in coverage.
Are you volunteering to fulfill a school or community service requirement?
Yes___ No ___
If yes, please specify the number of hours required to fulfill your commitment. ______________
Please indicate skills and/or areas of work that will enable us to match you with volunteer opportunities:
______________________________________________________________________
References
References are encouraged in order to volunteer at Canopy of Neighbors. Please list your reference below. Your reference should include someone not related to you.
Reference Name:
Home Address: ______________________________Street
_____________________________________ City/State/Zip
Email address: _________________________________
Phone: _______________________________
VOLUNTEER Signature: __________________________________
Date: ________________
Thank you for completing our application. We look forward to discussing volunteer opportunities
at Canopy of Neighbors with you!
