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Friendly Visitor Program
Volunteer Application
Part of the Long-Term Care Ombudsman Program
Logo
3910 Harry Hines Blvd., Dallas, TX 75219
Phone: (214) 525-6131

Thank you for your interest in our Long-Term Care Ombudsmen Program, Friendly Visitor Project at The Senior Source. Your willingness to serve our most often forgotten older and disabled adults living in Dallas County nursing homes and assisted living facilities is greatly appreciated and is essential to fulfilling our mission. Please complete the applicable form below to help us coordinate a meaningful volunteer experience for you. 

NOTE: We do not participate in court-appointed community service.


Step 1: Your Contact Details



Group Leader











Mailing Address



If not listed and in Texas, choose "Other - Texas." If not in Texas, choose "Out of State."


Step 2: Individual Volunteer Preferences
A criminal background check may be conducted by the facility staff if needed; however, this may vary due to COVID-19. Anyone under the age of 18 may require adult supervision.
 
Have you volunteered with The Senior Source before?
What is your geographical preference
(select all that apply)?
If other, what geographical area?
Visit Type (select all that apply)
Travel Radius Preference
Step 2: Group Volunteer Preferences
Most facilities usually waive the background check for groups because you will serve in a public setting and not in resident rooms; however, this may vary due to COVID-19. Anyone under the age of 18 may require adult supervision.
 
Have you volunteered with The Senior Source before?
Number in Group
If other, please explain.
Volunteer Age Range
Visit Type (select all that apply)
Your Organization/Group Type
What is your geographical preference
(select all that apply)?
If other, what geographical area?
Travel Radius Preference
Preferred Time Frame
If other, what is your preferred time frame?
Preferred Days of Week
If other, what is your preferred days of the week?

 

FOR INTERNAL USE ONLY