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Anoka County RSVP (Retired and Senior Volunteer Program) Volunteer Enrollment Form

  1. PRIVACY NOTICE

    PLEASE NOTE: ANOKA COUNTY TAKES YOUR PRIVACY VERY SERIOUSLY. WE WILL TAKE EVERY AVAILABLE PRECAUTION TO MAINTAIN THE SECURITY AND INTEGRITY OF YOUR PRIVATE INFORMATION. PRECAUTIONS HAVE BEEN TAKEN TO MAKE ANOKA COUNTY’S WEBSITE AND E-MAIL SECURE, BUT ABSOLUTE SECURITY IS NOT GUARANTEED. IF YOU CHOOSE TO SUBMIT YOUR INFORMATION ELECTRONICALLY, YOU ASSUME ANY RISKS ASSOCIATED THEREWITH.

  2. Your Information

  3. How do you plan to travel to your volunteer assignment?*

    This information is required for your liability insurance benefits. Check all that apply.

  4. Optional. If you choose to answer, please respond with "yes" or "no."

  5. Designation of Beneficiary

  6. Emergency Contact

  7. More about your interests

  8. All positions located in Anoka County; please specify if you’d like to only volunteer in a certain area of the county.

  9. Please specify anything else you’d like us to know when matching you with volunteer opportunities. (Examples: professional skills you’d like to share in a volunteer setting; restrictions you want us to be aware of; etc.).

  10. RSVP Volunteer Interests/Skills

    Please check the interest/skills that you have and would like to use as a RSVP volunteer. They will be entered in the RSVP skills bank and used to match volunteers to community needs. Based on your interests, you will be sent descriptions of volunteer opportunities to choose from. Training will be provided for all positions.

  11. Arts/Entertainment

  12. Basic Needs

  13. Education

  14. Health Services

  15. History Center

  16. Miscellaneous Support

  17. Office/Computer Support

  18. Senior Care

  19. Short Term Projects

  20. Tax Form Assistance

  21. Transportation

  22. Signature

    Please check the confirmation box to confirm that you have read and understand the following statement:
    • I hereby state that I am 55 years of age or older and offer my services as a volunteer for the Anoka County Retired Senior Volunteer Program. I understand that I am not an employee of the RSVP Project, the sponsor, Anoka County, the volunteer station, or the Federal Government and agree to serve without compensation.
    • If I drive my own vehicle I will keep my automobile insurance updated.
    • By enrolling in RSVP, I understand that my name and/or picture may be used in news stories, newsletters, news releases or slide presentations to help in promoting the Program.

  23. Confirmation*

  24. Please enter your full name as an electronic signature

  25. Leave This Blank:

  26. This field is not part of the form submission.