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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Veterans Affairs

Veterans Affairs, Montgomery County

1430 DeKalb St
Norristown, PA 19404
(610) 278-3285

http://www.montcopa.org/index.aspx?NID=266

Services Provided: Information and referral for veterans and their dependents; burial benefits, health exams, prescription benefits, and discharge records.

Eligibility: Must be a veteran or the dependent of a veteran

Fees: Free.

Veterans Affairs, Regional Office

(800) 827-1000

http://benefits.va.gov/benefits/

Services Provided: Information and referral for veterans and their dependents; veterans’ benefits; income verification.

Eligibility: Must be a veteran or the dependent of a veteran.

Fees: Free.

Assisted Living Research Institute

https://www.assistedliving.org/assisted-living-benefits-for-veterans/

Services Provided: Assisted Living Benefits for Veterans

Surrey Services for Seniors

119 Radnor Street
Bryn Mawr, PA 19010
484.222.4930

https://surreyservices.org/

Services Provided: Lunch, exercise classes, cubs, Speakers’ Series, art classes, horticulture programs, Veterans group, dental clinic (offsite), Personal Finance Management, Surrey Academy family caregiver support, transportation including wheelchair rides, home care services.

Service Area: Chester, Delaware, Montgomery Counties

Fees: $50 per year annual membership
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