Aging Connect Volunteer Site Request Form Thank you for your interest in partnering with the NYC Department for the Aging-Aging Connect program. DFTA Aging Connect partners with a myriad of organizations and elected officials hosting activities with a senior focus and in need of volunteer support. Please complete the following volunteer site request form. Once received, the Manager of Volunteer Operations will contact you to discuss the opportunity.PLEASE SUBMIT YOUR REQUEST AT LEAST 4-WEEKS BEFORE YOUR START DATE TO ENSURE PROPER TIME TO RECRUIT AND PROCESS INTERESTED VOLUNTEERS FOR YOUR OPPORTUNITY.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 Neighborhood(s) of Opportunity Community District Email Address * Phone Number * Question Title * 2. What type of opportunity are you recruiting for: Ongoing > 6 months Short Term 3-6 months Special event (1-2) days Question Title * 3. 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 * 4. Are you the contact for this opportunity? Yes No If not, please enter the name, cell and email for the contact person. Question Title * 5. Event Logistics. Who is hosting this event/activity? What day(s) and date(s) are your event/opportunity? What time(s) does your event start and end? Event/activity full address, include rooms/floors. Event/activity cross streets or link to a map. Who is your audience and how many attendees are you expecting? Is this held indoors or outdoors? If outdoors, is it rain or shine, or what is the rain date? Describe your organization/program and event/activity. Question Title * 6. Organization/Program and Event Description: Detail the tasks the volunteer(s) will be asked to perform. Be specific. Include as many as are needed. If you need more space, enter additional details in Question 11. If none, type N/A. Question Title * 7. Tasks: Task 1 Task 2 Task 3 Detail the requirements the volunteer(s) will need to meet. Ex. Minimum age, language(s) spoken, ability to lift a certain amount of weight, stand for more than an hour, etc. Be specific. Include as many as are needed. If you need more space, enter additional details in Question 11. If none, type N/A. Question Title * 8. Requirements: Requirement 1 Requirement 2 Requirement 3 Question Title * 9. Please answer the following. What time are the volunteer(s) needed to serve? Are you interested in having shifts/time slots? How many volunteers are requested? Will volunteers be teamed up? Where do the volunteers check in? Who do the volunteers check-in with/report to? When does training/orientation start and end and/or how long is it? Where is training/orientation held? What is the volunteer dress code? Where are volunteers placed? (In/outdoors, in the community, event registration, conference room, etc.) Are the volunteer(s) provided with meals/snacks/refreshments? Are the volunteers(s) able to attend the event/activity? DFTA trains volunteers to conduct free blood pressure screenings at community events/activities. Requests for a blood pressure screener are NOT GUARANTEED to be filled. Screeners are not event/activity volunteers and do not serve dual roles.Blood pressure screenings require one table or half table, along with a minimum of 2 chairs. If the event is outdoors, tenting/shading is necessary. This equipment must be provided by the event/activity host. DFTA will provide the blood pressure equipment, should a volunteer be confirmed. Question Title * 10. Are you interested in a DFTA Volunteer to conduct blood pressure screenings? Yes No Question Title * 11. Please add any other details for us to share with volunteers. Next
