ReServe Elder Service, Inc. : New York, NY

ReServe connects experienced older adults to stipend-paying volunteer positions that challenge them to use their professional skills for the public good, and educates civic institutions about the benefits of experience and wisdom that elder professionals contribute.

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Contact

First Name:*
Last Name:*
Address:*
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Borough*
Phone:*
Cell:
Fax:
Email:*
SSN:

Emergency Contact

Name:
Relationship:
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Work

Please list your key areas of interest.

Other Areas of Interest:

Do you have computer skills?*

Please rate your skills below:
Word
Excel
Internet/Email
PowerPoint
Access
Publisher
Accounting Software

Please list up to 3 employers and dates of employment

Employer 1*
Job Title*
Dates*
Employer 2
Job Title
Dates
Employer 3
Job Title
Dates

Please provide 2 professional references*

	Phone:
	Phone:

Have you served in the military?

Education

Degree 1:

Degree 2:

Degree 3:

Undergraduate School

Graduate School

Additional Training

Do you speak any other languages besides English?

If yes, list:

Personal

Are you retired?*

What year did you retire?

Birthdate

Ethnicity (optional)

Your available start date:

How did you hear about ReServe?*

Are you authorized to work in the U.S.?*

Do you use public transportation?

Do you have a car?

Do you have a valid driver's license?

Is placement in another borough OK?

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I understand that the information I have provided is accurate to the best of my knowledge.*