Participant Information:

Project Selection:

Which project would you like to participate in?

Availability:

Preferred Days:

Preferred Time:

Skills and Experience:

Please describe any relevant skills or experience you have for this project:

Assistance for Elderly Residents:

Do you have experience working with elderly populations?
Yes
No
If yes, please provide details:

Emergency Contact Information:

Name:

Relationship:

Phone Number:

Additional Information:

Do you have any specific needs or accommodations?

I consent to participate in the selected community project with Kaiwa Cares, Inc. I understand that my participation is voluntary and that I will be expected to adhere to the organization’s guidelines and policies.