RSVP is exclusively for volunteers 55 or over. Please complete this application to start the process of becoming an RSVP Volunteer. We are looking forward to helping you find the right volunteer opportunity for you!

RSVP Volunteer Enrollment Form

RSVP Volunteer Enrollment Form

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Region
Please complete all sections and submit to apply as a volunteer for the Region 10 Senior Volunteer Program.

Volunteer Basic Information

Mailing Address
Mailing Address
City
State/Province
Zip/Postal
Are you a Veteran?
Have you ever been convicted of a criminal offense or misdemeanor?

Driving

AmeriCorps Seniors RSVP provides a mileage reimbursement to volunteers for travel reimbursement between home and volunteer site.
Will you be claiming a mileage reimbursement for travel to and from volunteer location?
If yes, will you be able to provide proof of active auto insurance coverage upon request?

Emergency Contacts

Beneficiary Address
Beneficiary Address
City
State/Province
Zip/Postal
Country
Check the MORNINGS during the week when you are available to volunteer:
Check the AFTERNOONS during the week when you are available to volunteer:
Check the EVENINGS during the week when you are available to volunteer:
Do you have allergies we should know about?

Certification

By checking the yes box below each statement, I acknowledge that I have read and understand the following statements:
I hereby state that I am 55 years of age or older and offer my services as a volunteer for the Region 10 Retired Senior Volunteer Program. I understand that I am not an employee of the AmeriCorps Seniors RSVP Project, Region 10 RSVP, the volunteer station, or the Federal Government and agree to serve without compensation.
I understand that in my capacity as an AmeriCorps Seniors volunteers in RSVP I may come into contact with confidential information. I agree to protect this information to the best of my ability and not to disclose it during or after my service as a volunteer has ended.
I understand that if I use my personal automobile in my volunteer service, I will arrange to keep in effect automobile liability insurance equal or greater to the minimum requirements of the state of Colorado. I will also keep in effect a valid Colorado Driver's license.