Volunteer Today — Huron Valley PACE

Step 1:

Submit the Volunteer Application Form

If you are interested in becoming a Huron Valley PACE volunteer, please fill out and submit the application below. (Or you can request a paper version by calling Pace at 734-572-5777).

VOLUNTEER REQUIREMENTS:

13 years and older (Parental consent required if under 18)
Able to pass a background check
Willing to receive Covid vaccination and a TB test
Love to share joy with others!

Volunteer Application Form

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

Date of birth

MM

DD

YYYY

Gender

Male

Female

Prefer not to say

Ethinicity

Emergency Contact

Please provide the name and contact information for your emergency contact

First Name

Last Name

Emergency Contact Phone (Primary)

(###)

###

####

Emergency Contact Phone (Secondary)

(###)

###

####

Relationship of Emergency Contact

Your Volunteer Experience

Please share your past volunteer experiences (include organization/agency and position)

Interests and Hobbies

We would like to know what you enjoy! Please share your interests, skills, activities you enjoy, etc.

Availability

Please indicate the days and times you are usually available to volunteer. (E.g. Tuesday - Thursday, 8:30 am - 5:00 pm)

Agreement

I understand and agree that submitting this application form does not automatically register me as a Huron Valley PACE volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering. I also understand that Huron Valley PACE licensing may require volunteers to complete a criminal background check, TB test and to sign a confidentiality statement. By submitting this form, I attest that the information I have provided on the form is true and accurate

I agree