Volunteer Interest Checklist

About You

□     Are you Bi-Lingual?

If checked, please list what language: _____________________________

Social Interaction

□     Friendly Home Visits

□     Friendly Telephone Visits

□     Prepare/Share a Meal

□     Accompany Client to Cultural Event

□     Read (books/newspapers/etc.) to a visually impaired client

□     ________________________________________

□     ________________________________________________________________

□     ________________________________________________________________

Escort & Transportation

□     Take Client to Medical Appointments

□     Assist with Grocery Shopping

□     Take Client to Grooming/Beauty Appointment

□     Take/Accompany Client to Religious Services

□     ________________________________________

□     ________________________________________________________________

Home/Life Assistance

□     Be a First Responder on Your Block

□     Perform Advocacy for Client

□     Help with Paperwork

□     Assist with Bill-Paying

□     Provide Home Maintenance and Repairs

□     Provide Lawn Care

□     Provide Show Shoveling/Snow Blowing

□     Provide Gardening Services

□     Prepare meals for future use

□     Provide Housekeeping Assistance

□     Do Laundry

□     Provide Dog-Walking/Pet Care

□     Do Home Safety Assessments

□     Provide Computer Expertise/E-Mail Assistance

□     ________________________________________

□     ________________________________________

NNORC Office Assistance

__Information and Referral Resources

__Assist with Preparing Mailings

__Program Planning

__Public Relations

__NNORC Newsletter

Your Availability

Please print and mail form to: NNORC, 877 Madison Avenue Albany, NY 12208