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At Daughter for the Day, we are very passionate about working with our senior clients, and we expect that any one who is accepted as a Daughter or Son will feel the same way. The position of Daughter/Son within our organization is a very special one, and carries with it the honor and respect deserved by those who put the needs of others ahead of their own. We do not consider what we do to be a job. Because of the services we provide to our senior citizens we have to do a complete background check on all of our volunteers. If you are a LOVING and CARING person and have a FEW HOURS a week to lend a helping hand to a SENIOR CITIZEN we would love for you to be a Daughter/Son; If you are looking for something worthwhile and fulfilling to do with your time we have seniors who need your assistance.

Each of our Volunteers complete and application.
Each of our Volunteers have a face to face meeting before going to the next step.
Each go through a background screening and a driving record check.

Please complete the following application and we will contact you to set up your orientation/training session.

Please provide the following contact information:

First Name

Last Name

Middle Initial

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Home Phone

Work Phone

Cell Phone

FAX

E-mail

Residential History: Please provide your previous address if is less than 5 years.

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Please identify and describe yourself: Date of Birth Sex Male Female

Do you drive?Yes No                     Do you have your own transportation? Yes No

Drivers License #            Expiration Date:         State of Issuance:

Please tell us why you want to be a Daughter or Son?

How did you hear about Daughter For The Day? Please select the radio station.

Please provide us with your current or previous job position?

Incase of emergency please provide the following contact information:

First Name

Last Name

Relationship

Work Phone

Volunteering really takes a commitment and your time so are you ready to commit yourself to helping out a Senior Citizen. Yes No

Daughter For The Day; Inc., is a drug and alcohol free workplace. Our organization does not discriminate because of age, ethnicity, gender and/or religion. Your association with Daughter For The Day, Inc. is contingent upon a background and driver's license check. Your will be required to supply your Social Security Number at the orientation session.

First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
Work Phone
Cell Phone
FAX
E-mail

APPLICATION TO BE A DAUGHTER OR SON