AGE Y☮UR WAY VOLUNTEER INTAKE PACKAGE The Loneliness ProjectKicking Loneliness in the Ass For Volunteers "*" indicates required fields URLThis field is for validation purposes and should be left unchanged.Personal InformationFull Name*Preferred NameAddress Street Address City Province Postal Code Phone Number*Email* Emergency ContactNameRelationshipPhonePreferred Start Date: MM slash DD slash YYYY Availability Mornings Afternoons Evenings Weekdays Weekends Interests & Experience1. Why do you want to volunteer with seniors?2. Do you have previous volunteer or work experience with seniors? Yes No If yes, describe:3. Hobbies & interests (used for matching): Conversation Cards & games Crafts Puzzles Reading / books TV/movies Music Walking (if safe) History Cooking/food Pets OtherVolunteer Role DescriptionVolunteers provide companionship, not clinical care.This Includes Conversation Social visits Light activities (cards, puzzles, music, etc.) Walks (if safe) Emotional support Outings Volunteers Do Not Provide medical care Administer medications Handle money or banking Provide transportation Perform personal care Do housework or chores Lift or physically support seniors Code of ConductAll Age Your Way volunteers agree to: Treat all seniors with dignity, respect, and kindness Maintain confidentiality at all times Arrive on time for visits Provide only companionship Maintain appropriate personal boundaries Never accept money or high-value gifts Communicate any concerns to the coordinator Represent Age Your Way positively Follow safety and reporting procedures Volunteer Training ChecklistVolunteers must complete orientation and training on: Understanding Senior Loneliness Compassionate Communication Boundaries & Prohibited Activities Recognizing Signs of Distress or Abuse Home Visit Safety PIPA Privacy Requirements Visit Documentation Reporting Procedures Emergency Protocols