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AACI Senior Wellness Program Volunteer Application
Senior Wellness Program provides wide range of programs to older adults including wellness and social activities, health and safety workshops, Senior Nutrition Program as well as informational & referral services in the diversify community.
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* Indicates required question
Name:
*
Your answer
Email
*
Your answer
Phone Number:
*
Your answer
Address:
*
Your answer
Are you over 18 years old?
*
Yes
No
Other:
Required
I am interested in
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Community Navigator
Community Ambassador
Activity & Event Aide
Customer Service Attendant
Nutrition Program Associate
Wellness Class Facilitator
Office Administrator
Blood Pressure Screening Specialist
Required
My Availability Day(s) and Time(s) , please click all that apply
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning 8:30-11:30am
Evening 2-5pm
Afternoon 12:00-3pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning 8:30-11:30am
Evening 2-5pm
Afternoon 12:00-3pm
My additional note (i.e. specific start date...etc.)
Your answer
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