Volunteer Interest Form

Please visit https://www.saltlakecounty.gov/aging-adult-services/get-involved/volunteer-opportunities/ or call 385-468-3283 for more information!


One of our friendly volunteer coordinators will reach out to discuss volunteer opportunities. Thank you for your interest!

 
 

Contact & Demographic Information

 
 
 

Street (Including Apartment/Unit #)

 
 
 
 

Some volunteer positions have age restrictions. Type or use the calendar icon to enter date of birth. (MM/DD/YYYY)

 
mm/dd/yyyy
 
Phone
 
 
 

In addition to Aging and Adult Service's volunteer tracking system, Salt Lake County maintains a list of volunteers who may be willing to help with other volunteer opportunities across the County.


If you do NOT want to be included in this additional database, and therefore not notified of potential volunteer opportunities on a County level, check this box.

 
 

Choose all that apply:

 

Choose only one:

 
 
 
 
 
 
 

Emergency Contact Information

 
 

Volunteer Information

 
 

This will help our volunteer coordinators understand which program may be the best fit for you.

 
 

For example: Downtown, SLC, WVC, home

 
 

For example: no heavy lifting, pet allergies, etc

 
 

Because we work with a vulnerable population, we require a criminal background check. Have you ever been convicted of a criminal offense? If the status of your felony history changes, you must notify SLCo Aging & Adult Services immediately.

 

Some positions (Rides for Wellness, Meals on Wheels) may allow you to use your vehicle while performing volunteer work.


I understand that if I use my personal automobile in my volunteer service, I will arrange to keep in effect automobile liability insurance equal to the minimum limits required by the State of Utah.

 
 

Volunteer Responsibilities

You must agree to all of the following requirements and responsibilities:

 
 

I confirm that the above information is accurate and truthful to the best of my knowledge. I understand that incorrect information may lead to dismissal from my volunteer position with Salt Lake County Aging & Adult Services.


Type your name and today's date here to agree to the statement above: