Volunteers | Beneficiaries | Visitation Log | Donate | Contact Us Volunteer Orientation Prior to initial senior visitation, you are required to participate in a brief orientation session, which will take place at the assigned facility. Orientations can be arranged for individuals or small groups. These sessions will ensure that you will be prepared to have a successful initial encounter with your senior. Upon your arrival, an assisted living or nursing home program director will be available to direct you to your assigned seniors. Program directors will give you a guided tour of their facility. Consistency A major goal of the Smile on Seniors program is to train volunteers that are interested in developing a long term relationship with their senior. SOS coordinators work to schedule your visits, and you are encouraged to be consistent with your weekly visits. Anticipating future visits with an SOS volunteer can help seniors maintain a more positive outlook; therefore, consistency is a crucial key to a relationship that is beneficial for the senior. Bringing Your Children Bringing your children along on a visit is beneficial for both the seniors and the children. The seniors love the young company, and the relationship with the seniors has a positive effect on your family. Don't be concerned about the commotion that always accompanies kids. It can be a welcome change to the usually sedate home environment, and studies show that elderly people enjoy seeing and spending time with children. Application for S.O.S. Volunteer Full Name First Name Last Name Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Nagorno-Karabakh Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Turkish Republic of Northern Cyprus Northern Mariana Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Transnistria Pridnestrovie Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country Phone Number Area Code Phone Number E-mail T-shirt Size XS Child XS Adult S Child S Adult M Child M Adult L Child L Adult XL Child XL Adult In your free time what do you like to do? (Check all that apply): Playing ball Playing piano Reading Taking walks Board games Card games Craft projects When SOS has a program event, would you like to participate? (Check all that apply): Making calls Setting up Shopping Planning At the event only If you were a senior being visited, what are a few things that would interest you? When would you like to visit your Bubby or Zaidy Buddy? Choice one: Day Choice one: Time Choice two: Day Choice two: Time In the event that I am not able to visit my Buddy, I will find a replacement or notify the SOS coordinator prior to the visit. I understand that it is necessary to visit with the Coordinator and buddy before volunteering begins I understand that I will have to take a training session, provided by the SOS. I affirm that no moneys or gifts shall be accepted by me from any senior at any time and I will do all within my power to uphold the mission and integrity of the Smile On Seniors™ program. Print Name First Name Last Name Date 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Year Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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