2021- 2022 Aging Connect Volunteer Site Request Form

Hello Prospective Partners,

Thank you for your interest in partnering with the Aging Connect – Volunteer Program. As a prospective partner, we would support your event or ongoing volunteer opportunity by placing DFTA registered volunteers at your site. All volunteers will be screened and receive training prior to placement. DFTA volunteers are required to report hours worked, and the number of clients served.

Please complete the following volunteer site request form. Once received, the Volunteer Information Specialist will contact you to discuss the opportunity and the next steps in the vetting process.

PLEASE NOTE THAT ALL PARTNERS MUST BE VETTED PRIOR TO DFTA VOLUNTEER PLACEMENT. PARTNERS MUST ADHERE TO CURRENT COVID GUIDELINES, PROVIDE THE NECESSARY SUPPLIES TO ENSURE A SAFE VOLUNTEER ASSIGNMENT.

If you have any questions, please contact Aging Connect at 212-244-6469 or volunteer@aging.nyc.gov Monday through Friday, from 8:30 am - 5:30 pm for assistance.

Thank you,
DFTA Aging Connect Team

Question Title

* 1. Contact Information:

Contact Name

Title

Organization

Borough

Email Address

Phone Number

Question Title

* 2. Organization type

DFTA Funded Program

Non-Profit organization

Elected Official

City Agency

Corporation / For Profit

If you do not fall in any of those categories please fill in below

Question Title

* 3. What type of opportunity are you recruiting for: Please select all that apply

Ongoing > 6 months

Short Term 3-6 months

Special event (1-2) days

Other Tasks you need volunteers for:

Question Title

* 4. Will you be providing ?

Masks

Hand Sanitizer

Other supplies you will be providing

Question Title

* 5. Please answer the following.

What time are the volunteer(s) needed to serve?

How many volunteers are you requesting?

Question Title

* 6. Please add any other details including your timeframe - if the opportunity is ongoing, please state the frequency of times you need volunteers each month

Question Title

* 1. Contact Information:

Question Title

* 2. Organization type

Question Title

* 3. What type of opportunity are you recruiting for: Please select all that apply

Question Title

* 4. Will you be providing ?

Question Title

* 5. Please answer the following.

Question Title

* 6. Please add any other details including your timeframe - if the opportunity is ongoing, please state the frequency of times you need volunteers each month

Question Title

* 7. If this is an in-person event, what are your COVID protocols?