Volunteer Information Form

Preferred Location to Volunteer:

River House
Coastal Community Center
THE PLAYERS Community Senior Center
Trout Creek
Meals on Wheels

Name:

E-mail:

Phone:
Cell Phone:

Address:

Birthdate:

Driver's Lic. # (Meals on Wheels vol's)

Employment and Volunteer Experience/Areas of Interest:

Days/Times Available:

I understand that if I use my personal automobile in my volunteer service, I will agree to keep in effect automobile liability insurance equal to the minimum required by the State of Florida. Furthermore, I understand that I am not an employee of the St. Johns County Council on Aging.

I agree

Date: