Senior Pen Pal Program 2017


Thank you for wanting to volunteer for the Senior Pen Pal Program.  Please fill out as much information as possible. 

Volunteer Registration Profile
What type of emails would you like to receive from us?
Senior News Notes and Monthly Volunteer Ops are published 1x per month each. Training emails are sent 2x per month. Recruitment Appeals and Disaster emails are sent as needs arise.
  About me, my skills and interests. Please check all that apply.

Please tell us how you heard about Connections.

Is there anything else you would like us to know?
Terms and policies: I verify that my application information is accurate and correct to the best of my knowledge. I agree that Connections Volunteer Center may use my photo in any and all publicity. I, and my heirs, in consideration of my participation in volunteer activities, hereby release HelpLine of Delaware and Morrow Counties, Inc. and it's affiliated Connections, The Delaware County Volunteer Center, its officers, employees and agents, and any other people officially connected with this event, from any and all liability for damage to or loss of personal property, sickness or injury from whatever source, legal entanglements, imprisonment, death, or loss of money, which might occur while participating in this event. Specifically, I release said persons from any liability or responsibility for my physical condition, for the condition or selection of course route and for the presence or actions of any other participants. I am aware of the risks of participation, which include, but are not limited to, the possibility of sprained muscles and ligaments, broken bones and fatigue. I hereby state that I am in sufficient physical condition to accept physical activity. I understand that participation in this program is strictly voluntary and I freely chose to participate. I understand that the HelpLine does not provide medical coverage for me. I verify that I will be responsible for any medical costs I incur as a result of my participation. I agree to Connections terms and policies*