Welcome to the Retired Senior Volunteer Program

Register to Volunteer Form

Thank you for your interest in our volunteers. To become a volunteer, please fill out the form below, contact us at 280-8656 or rsvp@rsvptulsa.org. We look forward to hearing from you.

Name:

Birthdate

(please enter MM/DD/YY)

Female Male

Ethnicity:

White
African American
Asian
Hispanic
Native American
Other

Mailing Address:

Telephone Number:

Cell Number:

City, State, Zip:

EMail:

Fax:

Previous/Current Occupation:

Previous/Current Employer:

Spouse Name:

Do you volunteer now?

Yes No

If yes, where?

Availability:

AM
PM
Evenings
Weekends
Monday
Tuesday

Wednesday
Thursday
Friday
Flexible
Regular
Schedule

Physical considerations for your volunteer assignment?

Emergency Contact:

Relationship:

Address:

Phone:

RSVP Free Supplemental Auto Liability Insurance Information

Driver's License #

Expiration Date:

Automobile Insurance Co:

I will carry the state-required minimum liability insurance.
please initial.

Life Insurance Beneficiary Information

All RSVP members receive free life insurance. Who would you like to designate as your beneficiary?

Name:

Address:

City, State & Zip:

Relationship:

Member Services
(Please initial in the box beside each service)

I give permission to RSVP to use my photo for publicity purposes?

I received my member copy of the RSVP Volunteer Handbook.

I understand that RSVP may at their expense choose to perform confidential background checks on any/all registered members. I hereby give my permission for such checks to occur.

All information provided on this form will be kept strictly confidential.

Volunteer Signature:

Date:

Referred by :

Local Newspaper
Website
Program Presentaion
Vintage Magazine
Tulsa/Community World
Health Fair/Senior Fair
TV/Cable
Person
Name of person who referred us:

RSVP Volunteer Interests/Skills

So we can better know your interests and skills, please check all areas you would consider utilizing in your RSVP volunteer service:

RSVP Programs

Airport Ambassadors
Bear Care - sewing teddy bears, bibs, blankets
Bulk Project Group - prepare mailings & projects
Court Watch & Safety Sheperd - flexible schedule court observation, research
Grandfriends - teaching/mentoring in Head Start Classes
Knittin' Kittens - knitting & crocheting for others
Partners in Education - Lanier Elementary
Power Up - Power Up+ - teaching or assisting in computer learning and teaching, or being a student
Professional Consultants - management & assistance for non-profits

Health

Hospice - Caregiver relief, patient visits
Hospitals - gift shop, info desk, admissions
Nursing Homes - visit residents, Ombudsman

General:

Animals - visit senior centers, exercise, adoption
Advertising
Carpentry, building, handy person, general maintenance
Baking, cooking, serving meals
Driving / transporting others
Gardening / Outdoors maintenance / conservation
Fund Raising / Event Planning for RSVP or other non-profit agencies
Library - aid, reading, literacy, shelf books
Museums / Parks - docent, tour guide, office
Sewing - Camp Fire vests, bibs, blankets
Schools - tutoring, reading, mentoring
Special Events
Theatre / Fine Arts - set building, usher
Foreign Languages

Administrative/Professional:

Bookkeeping
Website technology & maintenance
Office - filing, receptionist, greeting
Telephone - answering, calling

Advocacy:

Consumer Protection - Medicare, legal assistance, help desk
Crime - awareness, education, prevention, support
Family Health & Safety - teen pregnancy, substance abuse, violence & abuse, education, mental health
Homeless - mental health, housing, education
Incarceration - rehabilitation, re-integration, education

Additional interests not listed above?

Are you interested in being socially connected with other RSVP seniors based on mutual interests?

Yes No

For Agencies:
About RSVP | Partner Agencies | Request a Volunteer | Request a VOE Consultant | Agency Forms

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