top of page

Page Title

Become an NSC Volunteer!

If you’re interested in volunteering, please fill out our volunteer form below. Please note that all volunteers must complete a background check as part of the approval process. Once your application has been processed, our volunteer coordinator will contact you to help identify a volunteer role that might be a good fit.


Date of Birth
Month
Day
Year
Preferred way to contact you
Phone
Email
Are you a member of Northshore Senior Center
Yes
No
Have you ever volunteered with NSC?
Yes
No
Have you ever volunteered with another program?
Yes
No
Are you enrolled in an Employee Volunteer Incentive Program?
Yes
No
Have you ever volunteered with RSVP? (Ages 55+)
Yes
No
How often would you like to volunteer?
Once a week
Once a month
Only special events
Other
Do you have physical or mental limitations?
Yes
No
Which branches of Northshore Senior Center are you interested in volunteering?
NSC Bothell
NSC Kenmore
NSC Mill Creek
NSC Health & Wellness Center/Adult Day Health
Availability

Please list your available times.

What are your work experiences or skills, and what type of volunteer positions most interest you.

Which branches of Northshore Senior Center are you interested in volunteering?
Accounting/Finance
Health and Wellness
Administration
Human Resources
Coffee Bar
Instructor
Community Dining
Legal
Computer Skills
Marketing
Customer Service
Meals on Wheels
Events
Photography/Video Production
Fitness Center/Healthcare
Property Maintenance
Foreign Language
Sales
Fundraising/Endowment
Website & Social Media
Gardening
Working with Disabled People/Wranglers Program

From your answers above, what are your top choices? (Up to 3)

For Statistical Purposes Only- this information will assist us in reporting to our funders

Ethnicity
Gender

Northshore Senior Center Mission, Vision, and Organizational Values Acknowledgment Form

Mission

Northshore Senior Center promotes healthy living and well-being in our community through programs, services, resources and civic engagement.


Vision

We envision a community where everyone leads full, healthy and inspired lives.


Northshore Senior Center Code of Conduct

Please review the NSC Code of Conduct here: https://drive.google.com/file/d/18TXGE6B8u2zwB31sPVwsfRGT-3DKV46O/view?usp=sharing

I understand that my printed name and date constitutes a legal signature confirming that I acknowledge and agree to the information provided in this document.

Northshore Senior Center Volunteer Rights and Responsibilities Acknowledgement Form

OUR MISSION: Northshore Senior Center (NSC) promotes healthy aging and well-being in our community through programs, services, resources and civic engagement.


OUR VISION: We envision a community where everyone leads full, healthy and inspired lives.


VOLUNTEER RIGHTS:

To be treated as a co-worker.


I understand that my printed name and date constitutes a legal signature confirming that I acknowledge and agree to the information provided in this document.

Northshore Senior Center Policy on Confidential Information Acknowledgement Form

Board members, employees and volunteers of the Northshore Senior Center have access to confidential information that shall be used solely for the purpose of performing services on behalf of the Northshore Senior Center (NSC). The duty to maintain confidentiality of such information is part of the duty of loyalty, which obligates them to act in the best interest of the organization.


Unless otherwise required by applicable law, board members, employees and volunteers may not disclose, divulge or make accessible confidential information belonging to or obtained through their affiliation with NSC to any person, other than those who have a legitimate need for such information and to whom NSC has authorized disclosure. For the purpose of this policy, "confidential information" includes but is not limited to: planning documents; financial information; business and legal negotiations; board deliberations; marketing processes; computer and software systems and processes; client and customer records; personnel information and files; personal contact information about board members, employees, volunteers and actual or prospective donors; and other non-public information.


I understand that my printed name and date constitutes a legal signature confirming that I acknowledge and agree to the information provided in this document.

Northshore Senior Center WSP Form for NSC Staff and Volunteers Authorization to Release Criminal Information

I hereby authorize Northshore Senior Center to conduct the criminal background check described in the Northshore Senior Center Background Check Policy. In connection with this, I also authorize the use of law enforcement agencies to assist Northshore Senior Center in collecting this information. Washington State Patrol has been secured as a third party vendor to assist Northshore Senior Center in collecting and verifying information.


I also am aware that records or arrests on pending charges and/or convictions are not an absolute bar to employment. Such information will be used to determine whether the result of the background check reasonably bear on my trustworthiness or my ability to perform the duties of my position in a manner which is safe for Northshore Senior Center client and employees. 

Date of Birth
Month
Day
Year
Gender
Male
Female
Other

Have you ever been convicted of a criminal offense or have any pending criminal charges against you? 

This refers only to felonies and misdemeanors; you do not need to include non-criminal traffic violations or municipal ordinance violations.

a
Yes
No

Under Penalty of Perjury, I certify that to the best of my knowledge, the information provided is true and complete. I understand that any falsification or omission of information may disqualify me for this position and/or may serve as grounds for the severance of my employment or volunteering with Northshore Senior Center. By signing below, I hereby provide my authorization to Northshore Senior Center to conduct a criminal background check and I acknowledge that I have been informed that I may request a copy of the completed background check should I wish to receive one.


I understand that my printed name and date constitutes a legal signature confirming that I acknowledge and agree to the information provided in this document.

Requesting Agency/Address:

Northshore Senior Center

10201 E Riverside Drive

Bothell, WA 98011

bottom of page