716.684.8400

Independent
Living
- Floor Plans Manor
- FAQs
Assisted
Living
- Floor Plans Court
- FAQs
Enhanced
Assisted Living
- Floor Plans Terrace
- FAQs
Memory
Care
- Floor Plans Terrace
- FAQs
Skilled Nursing
& Respite Care
Subacute
Rehabilitation
- Rehab Services
- FAQs
Outpatient
Therapy
- Outpatient Services
- FAQs

Select Page

Campus Life & Programs
About Us
Careers
News & Blog
Contact Us
- Leave us a review

Volunteer Application Form

Niagara Lutheran
Health System

5949 – 5979 Broadway,
Lancaster, NY 14086,
Fax: (716) 206-0484

VOLUNTEER APPLICATION FORM
Which facility/facilities are you interested in volunteering at?
- GF TERRACE
- GHRC
- GF MANOR/COURT
- FOUNDATION
Name*
First Last
Date:*
Date Format: MM slash DD slash YYYY
Address:
Street Address
City/State/Zip:
Home Number:
Cell Number:
Email Address:
Other Contact:
Are you 16 years of age or older?
- Yes
- No
1. Which day(s) of the week would be the most convenient for you to volunteer?
- Mon AM
- Mon PM
- Tues AM
- Tues PM
- Wed AM
- Wed PM
- Thurs AM
- Thurs PM
- Fri AM
- Fri PM
- Sat AM
- Sat PM
- Sun AM
- Sun PM
2. Do you have any physical or medical limitations that would affect your ability to complete certain tasks?
- Yes
- No
Please explain:
3. Please indicate areas you are most interested in:
- Filing
- Visiting, reading and writing for residents
- Computer work
- Transporting residents for therapy
- Assisting with worship services
- Transporting residents to activities
- Assisting the hairdresser
- Sewing/mending
- Assisting in resident activities
- Sorting/distributing mail
- Gift shop/cafe
Other (please indicate details):
4. If you listed “Assisting in resident activities," please indicate which activities you would prefer:
- Evening activities
- Entertainment programs
- Discussion group
- Outings
- Morning coffee and doughnuts
- Bingo
- Residents’ restaurant
- Worship services
5. Do you have any volunteer or work experience in the health care field?
- Yes
- No
Please List:
6. List any hobbies, special interests or skills you have or would like to share with our residents:
7. Are any of the residents, volunteers or staff members friends or relatives of yours?
- Yes
- No
If so, please list them and their relationship to you.
8. In the event of an emergency, please notify:
Name:
Phone:
Address:
Street Address
Relationship:
9. Have you ever been convicted of a crime?
- Yes
- No
If yes, please give details.
10. Comments:
11. Would you please share your religious affiliation with us?
Name of Church:
Religion:
Address:
Street Address
City/State/Zip:
Priest/Minister/Rabbi:
Thank you! We look forward to having you join us!
As a volunteer you are eligible for:
- Free meals from the employee cafeteria if you work during meal times (only at GHRC)
- Free flu shots when available
- Your name badge
- Invitation to the volunteer appreciation luncheon
- A yearly check-up and PPD test
- The opportunity to join the Niagara Lutheran Health System Guild (minimal annual donation)
- The fulfillment of helping someone else

schedule a tour

visit foundation page

admission application

schedule a tour

admission application

The GreenFields resident

An affiliate of the
Niagara Lutheran
Health System

716.684.8400

5959 Broadway
Lancaster, NY 14086

Niagara Lutheran Health Foundation

Click the button below for more information

visit foundation page

What's Happening:

leave us a review

Contact Us

Name
Email
Message
CAPTCHA

Follow Us

Admission Application
Arrange a Tour
Privacy Policy/Terms of Use
Sitemap

© The GreenFields Continuing Care Community

Home
Independent Living
Assisted Living
Enhanced Assisted Living
Memory Care
Skilled Nursing & Respite Care
Subacute Rehabilitation
- Rehab Services
- Back
Outpatient Therapy
Campus Life & Programs
About Us
News & Blog
Careers
Arrange a Tour
Contact Us
- Leave Us A Review
- Back