Department For The Aging
Volunteer Station Application
Volunteer Station Name
Street Address
Suite, Floor, Room #
In what zip code do you operate?
Borough
Bronx
Brooklyn
Manhattan
Queens
Staten Island
Phone
Email
In which neighborhoods do you operate?
In which Community District(s) is your agency?
What is the demographics of your community?
How many Foster Grandparents would you like placed at your site?
How many days per week do you want them to volunteer?
How many hours per day?
Is your facility Handicap Accessible?
Yes
No
How will the volunteer get to the classroom(s)?
Elevator
Same Floor
Stairs
For special needs children, is there a specific requirement/skill that you require the FG to possess?
Is there a specific language requirement needed?
Onsite Interview & Supervision: Who will interview prospective FG volunteers and provide on-site supervision of FG volunteers?
(Note: this can be two different people)
Which staff person (and an alternate) will be responsible to prepare bi-weekly timesheets, online, for each FG volunteer?
(Note: we will provide username and password for the system along with training)
Training: Will you be able to facilitate specific training(s) for FGs assigned to your agency?
(Note: This is not a mandatory requirement but is highly suggested to ensure the FGs are readily equipped at the station)
We are required to provide progress reports on the progress and impact of the FG at your program/agency. Who will prepare the online quarterly progress reports?
In-Kind Contribution: We ask community partners who are able to contribute to the program by either
Providing a nutritious meal
Reimbursing for public transportation/travel (bus, train, access-a-ride)
Facilitating annual physical (if needed)
Providing a recognition event to highlight/celebrate what volunteers bring to the program
Allow a member of your agency to serve on the FGP Advisory Council or nominate a member of your community to serve
How many volunteers will you be providing meals for on a weekly basis?
How many meals are you providing these volunteers on a weekly basis?
What is the cost of each meal?
How many volunteers will you be providing travel for on a weekly basis?
How many trips are you providing these volunteers on a weekly basis?
What is the cost of each trip?
How many volunteers will you be providing annual physicals for?
What is the cost of each physical?
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