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  • Personal Information

  • Employment

  • Please Tell Us About

  • Any other volunteer experience (past and present). Please include the organization name, dates of volunteering, and your responsibilities.
  • Any special qualifications for volunteering at Richfield, such as professional training/education, knowledge of languages other than English, experience with older adults, and skills, hobbies, or talents.
  • References

    List three references not related to you
  • Name
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  • I affirm that the information on this volunteer application is true and complete, and I understand that false or misleading statements or omissions made on the application or at any other time may disqualify me from serving as a volunteer. I hereby irrevocably appoint any officer or administrator of Richfield as my agent with full authority to request, inspect, copy and otherwise have access to the above information on my behalf and in my stead to the extent that such information may relate to my past, present or future volunteering with Richfield. I understand that Richfield reserves the right to terminate the volunteer relationship at any time and for any reason with or without notice, and the volunteer has the same right. I understand that, as a volunteer, Richfield is not responsible for any accident or medical expense incurred while serving as a volunteer, nor is Richfield liable to provide workers compensation or employee benefits as a result of serving as a volunteer.
  • Type your full name here to electronically sign your volunteer application.