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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Montgomery County Programs

Lower Merion Affordable Housing

9 South Bryn Mawr Ave.
Bryn Mawr, PA 19010
(610) 275-4357

http://www.lmah.org/

Services Provided: Assists low-moderate income renters and first-time home buyers; Develops affordable housing in Lower Merion Township.

Eligibility: Income guidelines for all housing.

Montgomery County Office of Behavioral Health / Developmental Disabilities

1430 DeKalb St.
Norristown, PA 19404
(610) 278-3642

http://www.montcopa.org/index.aspx?nid=150

Services Provided: Information and referral for questions involving mental health, mental retardation, and drug and alcohol abuse in Montgomery County.

Montgomery County Energy Assistance (LIHEAP)

1931 New Hope St.
Norristown, PA 19401
(610) 270-3500

http://www.dpw.state.pa.us/foradults/heatingassistanceliheap/S_000960

Services Provided: Assistance in paying heating and cooling expenses for eligible individuals and families; Provides assistance only during certain months of the year.

Eligibility: Numerous eligibility requirements. Get brochure or call for information.

Fees: None.

Montgomery County Public Assistance

1931 New Hope St.
Norristown, PA 19401
(610) 270-3500 / (877) 398-5571

http://www.dpw.state.pa.us/

Services Provided: Cash assistance; Food stamps; Energy assistance; Medical assistance, including physician services, hospitalization, nursing home care; Information and referral.

Eligibility: Numerous eligibility requirements. Call for information.

Fees: Dependent upon income.

Montgomery County Health Department

1430 DeKalb St.
Norristown, PA 19404-0311
(610) 278-5117

http://www.montcopa.org/index.aspx?nid=513

Services Provided: Flu and pneumonia shots for older people or people with chronic illnesses; cancer screening for low income and uninsured and/or underinsured women age 50 or older.

Eligibility: Montgomery County resident; some services have income guidelines.

Supplemental Security Income (SSI), Montgomery County

1713 Markley St.
Norristown, PA 19401
(800) 772-1213

http://www.ssa.gov/disabilityssi/ssi.html

Services Provided: Pays monthly checks to people who are age 65 or older, or blind, or have a disability, and who have few assets and low incomes.

Eligibility: Age 65 or older, or blind, or have a disability; Income guidelines.

Montgomery County Housing Authority

104 W. Main St., Suite 1
Norristown, PA 19401
(610) 275-5720

http://www.montcoha.org/

Services Provided: Rental assistance and first time home buyers program throughout Montgomery County.

Eligibility: Dependent on income.

Fees: None.
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