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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Dental Care

Pennsylvania Dental Association

3501 North Front St.
Harrisburg, PA 17105
(717) 234-5941

https://www.padental.org/

Services Provided: Pennsylvania Dental Association refers to member dentists who have agreed to provide discounted dental services to eligible senior citizens.

Eligibility: Age 65 or older; income guidelines.

Fees: No fee for referral service; member dentists charge discounted fees.

Temple University Dental Clinic

3223 N. Broad St.
Philadelphia, PA 19140
(215) 707-2900

http://dentistry.temple.edu/patient-info

Services Provided: Services range from routine dental care and prevention to children’s dentistry, orthodontics, emergency care, and implants. Treatment is provided by dental students and monitored by attending faculty. The average appointment lasts two to three hours.

Eligibility: All ages; By appointment.

Fees: Yes. Reduced fees; Some insurance plans cover some procedures.

University of Pennsylvania Dental School

240 S. 40th St., Suite 122
Philadelphia, PA 19104
(215) 898-8943

http://www.dental.upenn.edu/patients/clinics/clinic.html

Services Provided: At the University of Pennsylvania School of Dental Medicine clinics, all care is provided by dental students or residents, who work in teams under the close supervision of faculty group leaders. A full range of general and specialty services are available including emergency care and pediatric dentistry.

Eligibility: Call for appointment.

Fees: Yes. Reduced fees; Some insurance plans cover some procedures.

Surrey Services for Seniors

119 Radnor Street
Bryn Mawr, PA 19010
484.222.4930

https://surreyservices.org/

Services Provided: Lunch, exercise classes, clubs, 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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