412-307-0071
Toll-Free 866-467-0888
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Open Your Heart To a Senior



Request More Info

Please fill out this form and we'll contact you regarding upcoming trainings and volunteer opportunities. No pressure, no commitment required, we promise! Just a chance to learn more. In lieu of submitting this form, you can also call us toll-free at 866-467-0888 or email us.

* Denotes Required Field

* First Name


* Last Name


* Street Address


* City


* State


* Zip


* Day Phone


* Email


I am interested in volunteering:
By myself With my group
      Name of Group

What volunteer opportunities interest you? (check all that apply)
Providing transportation
Grocery shopping with or for a senior
Friendly home visits
Telephone reassurance calls
Home safety checks
Assisting with correspondence, bill paying, applications
Yard projects (weeding, mowing grass, planting, gardening)
Snow shoveling
Raking leaves
Free Rides for Seniors driver
Free Rides for Seniors onboard dispatcher
Other

How did you hear about the program? (check all that apply)
North Hills Community Outreach
Family Services of Western PA/IVC of Southwestern PA
United Way of Allegheny County
Post-Gazette ad
Post-Gazette article
Other newspaper ad or article - Please specify
InCommunity Magazine - Please specify
Word-FM 101.5
Bus ad
Pop City Media
Cultural Trust playbill
Congregation bulletin
Internet search
Other

What area(s) of Allegheny County are you able to volunteer? (check all that apply)
North
South
East
West
City
Other

* Please type the text you see in the image