Volunteer Application

Our volunteers make an ordinary afternoon feel like home. Tell us about yourself and when you are free, and our team will be in touch about next steps.

Applicant information

Full name *

Date of birth Volunteers under 18 need a parent or guardian to co-sign.

Email address *

Phone *

Street address

Apartment, suite, etc.

City

State or province

ZIP or postal code

Availability and commitment

Tick every slot you are generally free. Pick at least one — nothing here is a fixed commitment, it just helps us match you to a house.

Preferred hours

Earliest start date

Areas of interest

How would you like to support our residents? Choose as many as you like.

Companionship Visiting residents, reading aloud, talking, or playing board games. Activities and events Assisting with group games, crafts, music, or holiday celebrations. Administrative support Helping with office tasks, organising files, or answering phones. Special skills Music, gardening, pet visits, a second language, or anything else you bring.

Something else

Background and experience

Why are you interested in volunteering with Goshen Home Care? *

Previous volunteer experience or relevant skills

References

Two people who are not family — professional, academic, or personal.

Reference one

Name *

Relationship *

Phone *

Email address

Reference two

Name *

Relationship *

Phone *

Email address

Emergency contact

Name *

Phone *

Relationship *

Background check consent and signature

Type your full name as your signature *

Date *

Required fields are marked with an asterisk.

Start a new chapter of your life, today.

All Services

Volunteer Application

Reference one

Reference two

Thank you

Links

Locations

Our Services