AACI Senior Wellness Program Volunteer Application

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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.

Name: *

Email *

Phone Number: *

Address: *

Are you over 18 years old? *

Yes

Other:

Required

I am interested in *

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

Evening 2-5pm

Afternoon 12:00-3pm

Morning 8:30-11:30am

My additional note (i.e. specific start date...etc.)

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