Get Online Application For Becoming A Senior Companion - Www2 Lanecc

This guide provides step-by-step instructions on completing the online application for the Senior Companion Program. By following these directions, you will ensure that your application is filled out accurately and thoroughly.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the application form and open it in your preferred editor.
2. Begin by entering your name in the designated fields for first, middle, and last names. Ensure all parts of your name are clearly filled out.
3. Next, provide your phone number in the appropriate field for contact.
4. Fill out your address accurately by including your street address or P.O. Box, along with the city, state, and zip code.
5. Enter your Social Security number followed by your age and date of birth in the respective sections.
6. Indicate your marital status and the last year of school you completed in the provided fields.
7. Describe your physical condition by selecting one of the options and providing a brief explanation if necessary.
8. Specify your main means of transportation and provide your driver's license number, including the state of issue.
9. List the transportation you plan to use as a Senior Companion.
10. Select your ethnic group from the choices provided.
11. In case of an emergency, fill in the contact information for someone to reach in the event of an emergency.
12. Provide your personal doctor's name and phone number.
13. Indicate how you learned about the Senior Companion Program.
14. State your goals for volunteering with the program by selecting from the options listed.
15. Share a brief background about yourself, including hobbies and special interests as well as any group memberships.
16. List two character references who are not family members, including all requested information.
17. Discuss the previous occupations you enjoyed most, providing a detailed description.
18. Outline your projected family income sources and amounts for the next 12 months in the formatted table provided.
19. Count and provide the number of dependents living in your household based on the income mentioned.
20. Sign the application to confirm the accuracy of the information provided, date the signature, and include your email address.
21. Finally, ensure the program director signs the application as well, noting whether your application was accepted or not, along with the reason if applicable.

Complete your application online today to join the Senior Companion Program and make a difference in your community.