Vison Hall Retirement Community and Homes in McLean, Virginia Outside Washington D.C.

Vinson Hall is Supported by the Navy Marine Coast Guard Residence Foundation

Volunteering at the Sylvestry, I believe has changed who I am today. I do not think that I could have found a better or more fitting place for me to complete my service project. I truly connected with the residents and will never, ever forget their amazing, inspiring, and warm, smiling faces.

– Maggie Jardot, volunteer at Vinson Hall Retirement Community

Volunteer Application

Contact and Personal Information

Name First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Phone Number - ### - ### ####
Email
Drivers' License # / State / Expiration Date

Availability

During which hours are you available for volunteer assignments?
Weekday Mornings Weekend Mornings Weekday Afternoons Weekend Afternoons Weekday Evenings Weekend Evenings

Interests

For which program(s) are you interested in volunteering?
Computer Training The Treasure Shop Music Programs Resident Activities Grounds Maintenance Personal Visits

Criminal Background Information

Have you ever been convicted of a felony?
Yes No
If yes, please explain:

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

General Health

Do you have any health problems that would limit your participation in certain activities? Please explain.

Person to Notify in Case of Emergency

Emergency Contact Name First Last
Emergency Contact Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Emergency Contact Phone Number - ### - ### ####
Emergency Contact Email

Professional or Personal References

Please list 2 complete references—Name, Complete Address, Phone, Email Address.

Agreement

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Our Policy

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Do Not Fill This Out

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6251 Old Dominion Drive
McLean, VA 22101

(800) 451-5121
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