Volunteer Application

ElderNet provides a safety net for older and disabled adults to help them remain in their homes with dignity and strengthens food and financial security for all community members in need of support.

Volunteer Form
ElderNet provides a safety net for older and disabled adults to help them remain in their homes with dignity and strengthens food and financial security for all community members in need of support.
Which do you prefer to be contacted on?
How long have you lived in Pennsylvania?
Race (For Reporting Purposes Only)?
How would you like to help?
Driving to medical appts:
Essential errands to bank, pharmacy, etc
Pantry
Special Events
Grocery shopping
Friendly Caller
Friendly Visitor
Odd Jobs
Other Information Needed:

As part of ElderNet’s application process, we will need a few more pieces of information from you:

  1. A copy of your driver’s license or other government-issued ID. This will be used to complete a
    background check for all volunteers.
  2. Have you used any other first or last names? This will help complete the background check.
  3. A copy of your car insurance card. For volunteers who will be escorting participants only. We
    will also need updated insurance information when your policy is renewed or changed.
  4. Three references.

Reference 1

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Reference 2

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Reference 3

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Hospice Care

Ascend Hospice

501 Office Center Dr., Ste. 285
Fort Washington, PA 19034
(215) 542-2100

http://ascendhospice.com/

Services Provided: 24/7 Comprehensive care; Expert clinical care; Specialized programs; Alternative therapies; Bereavement care.

Fees: Call for information.

Crossroads Hospice of Philadelphia

523 Plymouth Rd., Suite 225
Plymouth Meeting, PA 19462
(215) 956-5110

http://www.crossroadshospice.com/

Services Provided: Hospice services at home or a long term care facility.

Fees: Medicare and other medical insurance usually apply.

The Home Care Network, Jefferson Health System

400 One Radnor Corporate Center
Radnor, PA 19087
(484) 580-1550

http://www.thehomecarenetwork.org/thcn/

Services Provided: Pain and symptom control; Emotional comfort; Planning; Bereavement services.

Fees: Call for information.

VNA Hospice

3300 Henry Ave., 6th Floor
Philadelphia, PA 19129
(215) 581-2046

http://www.vnaphilly.org/

Services Provided: Inpatient unit.

Fees: Call for information.
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