Light Hill Volunteer Application
For more information or to request a paper application, email marie@lighthillhome.org or call Light Hill at (585) 393-1311.

Thank you for your interest in becoming a volunteer!

**This application will take about 15-20 mins to complete and does not need to be completed in one sitting**
**Asterisks in application indicate that the question requires an answer**

The information you provide is confidential. Some questions are more relevant to those providing hands-on care for residents. Please feel free to email us to elaborate on any of your responses. We will use this information to facilitate the screening process and to assist with scheduling assignments.

**We do require a background and reference check for each applicant**
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Full Name *
How did you learn about volunteering at Light Hill? *
Mailing Address *
Preferred Phone # *
Email Address *
Date of Birth (year not required)
Employment *
Employment History (please include dates and description of work)
Do you have any degrees or certificates that you would like us to be aware of?
Volunteer Experience (please include relevant dates and description of service) *
Hobbies/Activities
Do you have a valid driver's license? *
Are you able to volunteer throughout the year? If not, please explain: *
What personal gifts or strengths might you share with Light Hill?
Which days of the week are you available? *
Required
Are you interested in Hands-On Care? *
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