Emergency Contact

    Volunteer Information

    QuiltingBed makingGift/thrift shop (min 16 yrs)Wheelchair transportMeal assistant (min 16 yrs)Audio/visualOne on one visitsProgram assistantMusic (instrumental/vocal)Giving fresh waterSpiritual supportFundraising/special eventsPlant care (indoor/outdoor)Pet therapyChild care (Dock Woods only - min 16 yrs)Other


    The Willows (formerly Dock Meadows)Souderton Mennonite HomesDock Woods

    Residential LivingPersonal CareHealth CareMemory Care

    References - list two non-family members we may contact with reference to your application

    Personal History

    Please read the following statement carefully before signing this application:

    I understand that this is an application for and not a commitment or promise to provide an opportunity to volunteer. I further understand that by submitting this application I am consenting to the completion of a criminal background check made by Living Branches on my behalf and that this check will be made from governmental sources. I hereby agree to release and hold harmless from liability any person or organization that provides information to Living Branches. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and interviews with Living Branches that is true, correct and complete to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by Living Branches. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with Living Branches or termination as a volunteer.