Volunteer Information

Thank you for your interest in becoming a volunteer for Capital City Village! Please complete the following information and a CCV staff member will contact you.


Contact Information

First Name*
Middle Name
Last Name*
Postal Code
Confirm Email*

Consent for Background Check

Volunteer Privacy Information and Release Authorization

Please read the following carefully.


Application information

I certify that all information in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration for volunteer service and may result in my dismissal, if discovered, at a later date.


Background investigation

I understand, in consideration of my application, a background investigation will be conducted. I understand this investigation may include, but is not limited to, a criminal background check in the files of any Federal, state, or local justice agency, driving history, performance of medical examinations, drug screening, or reference verification. I authorize Capital City Village to conduct the background investigation and release Capital City Village from responsibility for this investigation. I understand the requested information is for the sole purpose of gathering accurate information for volunteer services at Capital City Village.


Volunteer Orientation

A 2-hour volunteer orientation will be required. The background check will be conducted upon completion of the orientation.


By clicking SUBMIT, I have read and understand the above and consent to these statements.


Areas of Interest

Volunteer opportunities include (but are not limited to):

  • Driving seniors to appointments and programs
  • Helping with computer problems
  • Light home maintenance
  • Household tasks
  • Writing articles and stories
  • Event planning
Additional Comments

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