Skip to content
623.584.4999 TTY 711
Volunteer
Donate
Who Is Benevilla?
Life Enrichment Day Programs
Benevilla Services & Resources
Donate & Help Change Lives
C.A.R.E.S. Department Community Resources
Events and Free Educational Workshops
Benevilla Blog What’s Happening?
Contact Us
Who Is Benevilla?
Benevilla Impact in the Community 2022
Leadership
Join Our Team
Benevilla Connection Newsletter
Benevilla Board Resources
Lucy Anne’s Place
Mary’s Place
West Valley
Helping Partners
Intergenerational Programming
How We Can Help You
Volunteer Opportunities
Free Home Services
Free Benevilla Support Groups
Family Resource Center
Kinship Caregiving – Grandparents Raising Grandchildren
Community Garden
Creative Aging
Benevilla Impact in the Community 2022
Spring 2023 Free Educational Workshops
2023 Benevilla Golf Tournament
Home
Donate
All Donation Opportunities
Volunteer Opportunities
Join Our Team
Life Enrichment Day Programs
How We Can Help You
Caregiver Support Groups
Family Resource Center
C.A.R.E.S. Program Community Resources
events-workshops
Contact
Volunteer Application
Step 1 of 2
50%
Contact Information
Date
Date Format: MM slash DD slash YYYY
Name
First
Middle Initial
Middle
Name
Last
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
*
*
*
*
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
*
Community where you reside (example: Sun City Grand, Sun Village, etc.)
*
Emergency Contact Information
*
*
*
*
Education Level
High School or GED
2 Year College
4 Year College
Masters Degree
Doctorate Degree
Community Where You Prefer to Volunteer
Sun City
Sun City West
Surprise
Peoria
Main Campus
Goodyear
Avondale
Buckeye
Tolleson
No Preference
Are you a student?
*
Yes
No
If yes, please provide the name of the school you are attending:
What hours are you available for volunteer assignments?
Weekday mornings (8:00-12:00)
Weekday afternoons (12:00-4:30)
Flexible
How did you hear about Benevilla?
Is anyone else at home address a Benevilla volunteer?
*
Yes
No
If yes, what is their name and relationship?
What type of volunteer activities/opportunities interest you?
Please list your hobbies and any special skills you have:
Do you speak any foreign languages or know sign language?
Have you ever been convicted of a crime (other than traffic violations)?
*
Yes
No
If yes, please explain.
Are you required to complete court mandated community service hours?
Yes
No
If yes, how many hours are you required to complete?
Due to the nature of our business and in accordance with state laws, our volunteers do require thorough background checks and a Level I Arizona Fingerprint Clearance Card. Do you agree to Benevilla performing background checks?
Yes
No
Do you currently have a valid fingerprint card?
Yes
No
If not, are you willing to obtain one?
Yes
No
Volunteers are also required to provide a 39-month MVD driver report for certain volunteer opportunities. (Required for any assignments in which driving is required) Has your driver’s license been revoked/suspended within the last 5 years?
Revoked
Suspended
No
I understand I will be required to provide three (3) personal or professional references (Reference letters may be emailed to cruff@benevilla.org or hand delivered to the main office) and I am able to obtain a Level 1 Arizona fingerprint clearance card. I am aware background checks will be completed and a 39-month certified driving history record may also need to be supplied. I am aware I must attend an orientation before I am able to volunteer with Benevilla and further understand additional training and documentation may be requested or necessary dependent upon my service placement.
*
I agree
I disagree
Agreement and Signature: I understand that my services are donated to Benevilla and are given for humanitarian reasons. I verify that the information on this application is true to the best of my knowledge. I understand that I will be required to provide at least (3) of the personal references and complete a background check and orientation before I am able to volunteer with Benevilla. I further understand that additional training and documentation may be requested or necessary dependent upon my service placement.
I Agree
I Disagree
It is the policy of this organization to provide equal opportunities to all applicants. Thank you for completing this application form and for your interest in volunteering with us. Once you have submitted your completed application, our Volunteer Services department will contact you for the next steps to becoming a Benevilla volunteer.
This iframe contains the logic required to handle Ajax powered Gravity Forms.
