Youth Volunteer Application

Dorchester Seniors, Inc. Youth Volunteer Application (Ages 16–17)

All youth volunteers must have parent/guardian consent on file before beginning service.

    Section 1: Youth Volunteer Information


    Section 2: Emergency Contact (Required)


    Section 3: Youth Volunteer Opportunities (Adult supervision required)

    Select one or more opportunities


    Section 4: Availability

    Days Available

    Time of Day


    Section 5: Youth Volunteer Acknowledgements

    I understand that I must follow all Dorchester Seniors, Inc. volunteer rules, policies, and staff instructions.

    I understand that some volunteer roles are restricted due to age and safety requirements.


    Section 6: Parent/Guardian Consent & Release

    Consent Statement

    I give permission for my child to volunteer with Dorchester Seniors, Inc. I understand that my child must comply with all volunteer policies and procedures. I acknowledge that participation may include weekend outreach or special events.

    I release Dorchester Seniors, Inc. from liability to the fullest extent permitted by law.

    I have read and agree to the Parent/Guardian Consent Statement above.

    Parent/Guardian Signature*