Retired & Senior Volunteer Program (RSVP) Application

This enrollment application is for volunteers age 55 and above. Please complete all sections.
Name(Required)
(Required)
Date of Birth(Required)


As a RSVP volunteer, you will be covered by accident and personal liability insurance plus a small death benefit while performing volunteer duties. This coverage is automatic and free of cost to you as long as you are an active, enrolled member of RSVP. Please provide the following information:
Emergency Contact
Beneficiary for RSVP Supplemental Accident Insurance
Morning Availability
Afternoon Availability


The following information is optional and will not affect your enrollment with NHC RSVP
Gender
Marital Status
Military
Are any of your family members actively serving in the military?
Occasionally, NHC RSVP will purchase volunteer recognition items for RSVP members. Please share your shirt size.
Please feel free to provide any additional information that might help us learn more about you, so that we can match you to the best volunteer opportunity:
Thank you for your interest in volunteering with New Hanover County RSVP (Retired & Senior Volunteer Program). We will be in touch soon!


Agreement(Required)
Date(Required)

Equal Employment Agency – New Hanover County RSVP is an equal opportunity Agency. Enrollment is done without regard to race, color, religion, national origin, gender, age or disability. RSVP provides reasonable accommodations to the known disabilities of individuals in compliance with the Americans with Disabilities Act. For accommodation information or if you need special accommodations to complete the application process, please contact New Hanover County RSVP at (910) 798-6406.

Thank you for the information you have provided. Your information is never sold, shared, or used outside of RSVP and New Hanover County.

For questions contact: Cully Shelton 910-798-6407 cshelton@nhcgov.com

This field is for validation purposes and should be left unchanged.
2222 South College Road • Wilmington, NC 28403 • Phone 910-798-6400 • Fax 910-798-6411
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