Senior Outreach

UCAN has a great opportunity to brighten the life  of an isolated senior in Urbandale through our Senior Outreach Program.

Senior Companions: A senior or senior couple will be matched with an individual or family and will receive weekly contact in the form of phone calls or letters and at least one in-person visit per month. Twice a year, those seniors able to safely get into their volunteer’s car will come with them to a dinner social provided by UCAN. Those in wheelchairs will be offered transportation from UCAN utilizing a service such as JoyRide.

Senior Buddies: Seniors will be matched with a church youth group or a school classroom and receive correspondence from the group.  Twice a year, UCAN staff or volunteers will transport the senior to visit their buddies and provide treats for a social time.

UCAN requires a one year commitment to serve as a Senior Companion Volunteer or Senior Buddies Group, and a background check is required after an initial interview with program coordinator. If you are interested, please email [email protected] for an application or complete our volunteer application below.

Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone *

Email Address *

Date of Birth *

Select Education Level *Education LevelStudentHigh School Graduate/GEDTrade SchoolCollege DegreeMasters or PhD

Languages spoken *

Employer

Certifications

Previous volunteer experience

Emergency Contact *

Emergency Contact Phone *

Have you ever been convicted of a criminal offense *Have you ever been convicted of a criminal offense?YESNO

(If yes, please explain) A conviction will not necessarily disqualify you as an applicant. A background check is also completed after initial interview.

When are you able to volunteer? *

How did you hear about us?

References

Please list two people who have definite knowledge of your qualifications.

Reference #1

Email Address

Phone

How are you aquainted?

Reference #2

Email Address

Phone

How are you aquainted?

What area of UCAN do you want to volunteer in?Youth ProgrammingSenior servicesFood DistributionClothing ClosetSpecial Events: School Supplies, Winter Boot Drive, etcFundraisingCheck all that apply

What area of UCAN do you want to volunteer in?Youth ProgrammingSenior servicesFood DistributionClothing ClosetSpecial Events: School Supplies, Winter Boot Drive, etcFundraisingCheck all that apply

Volunteer Confidentiality AgreementI agree that I shall hold in confidence all information regarding clients of the Urbandale Community Action Network (UCAN). I will not violate the confidential relationships between the programs, clients, staff ad volunteers. I will not remove any written clients records or copies from the UCAN office. I accept full responsibility for maintaining the confidential and private nature of all client records and information. I understand that I can discuss the client cases assigned to me with UCAN staff, office volunteers, board and other volunteers identified by UCAN staff. I understand that I can only discuss the client without other agencies with authorization from the client and UCAN unless it involves a criminal offense/injury/death. I understand a breach of this agreement could result in the immediate termination of my volunteer position with UCAN.

Volunteer Application Form

Submit Volunteer Application