Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Volunteer Application

  1. Logo of the Senior Center
  2. Membership and Volunteer Application

    The Middleton Senior Center tracks participation in programs as well as volunteer hours.  Please complete this form and you will be given a key card to swipe each time you come into the Senior Center.  Thank you!

  3. Volunteer Opportunities

    Please select all that apply

  4. Training Skills

    Please select all that apply

  5. Any Physical Limitations?

    Please select any that apply

  6. References - Please list two references not related to you whom we may contact:
  7. Reference #1
  8. Reference #2
  9. Emergency Contact Information:
  10. I grant to the Middleton Senior Center, the right to take photographs of me in connection with my volunteer assignments. I agree that the Middleton Senior Center may use such photographs of me with or without my first name and for any lawful purpose, including such purposes as publicity, illustration, advertising, and Web content.

  11. All volunteers of the Middleton Senior Center shall maintain confidentiality in the handling and use of participant information and records.  Any information relating to individuals attending programs or activities at the Middleton Senior Center is not to be discussed at any time within or outside the Middleton Senior Center.  This information may include personal information about staff, participants or overall agency business.

  12. Leave This Blank:

  13. This field is not part of the form submission.