Volunteer Application

Thank you for your interest in volunteering with Missoula Aging Services!

You can apply online by using the form below, or you can download the application at the bottom of this page.

Please note: depending on the volunteer job you are applying for, some questions on the application may or may not apply to you. For any questions, please contact the MAS Volunteer Coordinator at (406) 728-7682.

Online Volunteer Application

General Information

What Type of Volunteer Position are You Applying For?

MAS Volunteer
MAS RSVP Volunteer
MAS Stipend Volunteer – Foster Grandparent/Senior Companion

Do you need an accommodation to participate in the application or interview process?

Missoula Aging Services (MAS) is an equal opportunity Agency. All qualified candidates will receive consideration for volunteer positions without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Personal Information

Date of Birth

First Name (Required)

Last Name (Required)

Middle Name

Contact Information

Street Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Mailing Address (if different from street address)

Country

Address Line 1

City

State/Province

Postal Code

Phone (Required)

Email (Required)

How would you like us to contact you?

Home Phone
Cell Phone
Email
No Preference

MAS uses electronic communication to disseminate publications and volunteer opportunities. Would you like to receive electronic communication?

Employment and Volunteer Experience

Employment Information (Required)

Volunteer Experience (Required)

How were you referred to Missoula Aging Services for volunteer opportunities?

References

Please list two references that are not related to you, but are familiar with your work and/or relevant skills, either paid or non-paid, whom we may contact. (As a courtesy, please let them know that we may be contacting them).

Reference 1

Reference Name 1 (Required)

Reference Phone 1 (Required)

Reference 2

Reference Name 2 (Required)

Reference Phone 2 (Required)

Emergency Contact

Emergency Contact (Required)

Relationship

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Phone (Required)

Volunteer Information

Please check which areas you might be interested in volunteering. Please note that there are no guarantees that your desired area of volunteering will have openings, so please check all boxes that you are interested in.

Areas for volunteer age 18 and older:

Nutrition (i.e. Meals on Wheels)
Telecare Program
Ombudsman Program (Friendly Visitor)
Resource Center
Senior Medicare Patrol (SMP)
Development and Communications
Administrative
In-Home Care Services (ie: Caring Companion) (*the Caring Companion is for age 21 and older)

The areas below are for volunteers age 55 and older (Missoula AmeriCorps Seniors Programs):

RSVP (a variety of community services)
Foster Grandparents
Senior Companions

Applicant's Statement

The information that you provide on this application is subject to verification. Falsifications or misrepresentations may disqualify you from consideration for volunteer service. By clicking the “I agree” box below, I certify that all information on this and all attached pages is true, correct and complete to the best of my knowledge and contains no willful falsifications or misrepresentations. I authorize all references and employers to release information they may have about me and I release all persons or companies from any liability or responsibility for providing such information. I understand that I am not an employee of the Volunteer Programs, Missoula Aging Services (MAS), Missoula County, the volunteer station or the Federal Government.

Initial here for Certification of Information (Required)

I understand that selection into any program is contingent upon successful clearance of the National Sex Offender Public Website and may also include a Montana State Criminal History Check and an FBI Finger Print Check. I understand that I am ineligible to work or serve in this position if I decline to complete the application process, if I provide a false statement about any information provided, if I have been convicted of murder or if I am required to be registered as a sex offender.

Initial here for Certification of Background Check (Required)

Voluntarily and without compensation, I give MAS permission to record my image and/or voice and grant MAS all rights to use these recordings or photographs in any medium for educational, promotional, advertising, or other purposes that support the mission of the agency. I release images and recordings in any media now known or later developed.

I understand that this may also include use by organizations and entities which provide funding to MAS. I understand that it is my responsibility to remove myself from the picture taking area and/or inform the photographer if I do not wish to be photographed.

Initial here for Image and/or Voice Release

I have read and agree to adhere to the initialed conditions listed above.

I agree

If you are 55 and older and interested in volunteering with our Foster Grandparents, Senior Companion and/or RSVP Missoula AmeriCorps Seniors Programs, please continue to the next section to complete your application.

Otherwise, please scroll to the bottom of the page and click “submit application".

Additional Info for Missoula AmeriCorps Seniors Programs (Age 55+)

The following information is ONLY NEEDED from volunteers in the Foster Grandparent, Senior Companion and/or RSVP Missoula AmeriCorps Seniors Programs.

Placement with AmeriCorps Seniors programs includes free volunteer insurance coverage. As an AmeriCorps Seniors volunteer, coverage is automatic and free of cost to you as long as you are an active enrolled member of AmeriCorps Seniors. Coverage includes a small death benefit, excess accident medical, excess volunteer liability, and excess automobile liability coverage while performing volunteer duties. This coverage does not apply to any damage to your vehicle – you must maintain your own auto liability coverage at least equal to the state-required minimums.

Insurance Beneficiary for Senior Corps Supplemental Accident Insurance:

Beneficiary Name

Beneficiary Mailing Address

Country

Address Line 1

City

State/Province

Postal Code

Beneficiary Phone

Other Information (AmeriCorps Seniors Applicants Only)

AmeriCorps Seniors is often asked to provide demographical information pertaining to volunteer members. Please provide the following information (Optional).

Are you a veteran?

Are you an active Military Member?

Are any of your family members actively serving in the military?

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Optional - Ethnic/racial identification

Missoula AmeriCorps Seniors is subject to governmental recordkeeping and reporting requirements. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information is kept confidential.

Hispanic/Latino
American Indian/Alaskan Native
Asian
African American
Native Hawaiian/Pacific Islander
Caucasian

All qualified applicants will receive consideration for placement without regard to race, religion, color, sex, age, sexual orientation, national origin, marital status, disability or other legally protected status. I understand it is unlawful to retaliate against any person who, or organization that, files a complaint about such discrimination. In addition to filing a complaint against local and state agencies that are responsible for resolving discrimination complaints, you may bring a complaint to the attention of AmeriCorp Seniors. AmeriCorps Seniors contact information can be found here on the RSVP program page, or on any other AmeriCorps Seniors program page on the MAS website.

Note: If you select "Submit Application" and nothing happens, this may be because there is a required field that needs to be filled in. In that case, please scroll through your application to check for any missing answers (these will be marked in red).

Download an Application

Fill out a MAS Volunteer Application offline.

MAS Volunteer Application - PDF

MAS Volunteer Application - Word Doc