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Rockville Senior Center Volunteer Application
City of Rockville Department of Recreation and Parks
Rockville Senior Center Volunteer Application
Name:
*
Gender:
Female
Male
Address:
*
City:
*
State:
--- Select from the following ---
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Zip Code:
*
E-mail:
Phone:
Emergency Contact Name:
Emergency Contact Number:
Where would you like to volunteer? (You may check more than one)
Information Desk
Fitness Room
Snack Bar
Holiday Bazaar
Wednesday Evening Bingo
Gift Shop
Greenhouse
Lunch Program
Newsletter
Office
Thrift Shop
Computer Repair Shop
Spring Bazaar
Garden
Other:
Availability
Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
Are you willing to be a substitute?
Yes
No
Skills and Experience:
Other Volunteer Experience:
Fields marked with
*
are required.
