COME Walk With US…

And Weed Out Elder Abuse!The Piedmont Triad’s 1st Annual World Elder Abuse Awareness Day Walk

“Weeding Out Elder Abuse”June 16, 2012

Registration 8:00 AM; Walk 9:00 AMTriad Park

9652 East Mountain Street, Kernersville, NC 27284

Sponsored By: In Partnership With:

With Support From:

CALL FOR VOLUNTEERS!The Piedmont Triad Regional Council Area Agency on Aging and the 2012 Elder Abuse

Awareness Day Walk Planning Committee invite you to be part of the Piedmont Triad’s 1st Annual World Elder Abuse Awareness Day Walk.

We are currently seeking individuals as well as groups to volunteer for this exciting event. There are a variety of tasks that you or your group can participate in and we would appreciate

if you would consider volunteering. Please fill out the below volunteer form and return it to Dorian Fredricksen who will contact you to discuss specific volunteer opportunities.

The success of the walk depends on volunteers like you to assist with helping the event run smoothly. By volunteering, you can help raise awareness and make a positive difference for

our community!

VOLUNTEER INTEREST FORM

PLEASE PRINT CLEARLY OR TYPE:

Circle One: Individual Volunteer Group of Volunteers

Name: ____________________________________________________________________

City:_________________________________State:_______________Zipcode:__________

Telephone #:____________________________Fax #:______________________________

Email:____________________________________________________________________

T-Shirt Size (Individual Volunteers) SMALL MEDIUM LARGE X-LARGE

If volunteering as a group, please answer the following:

Name of Group:____________________________________________________________

Estimated Number of Volunteers in Group: ______________________________________

Number of T-Shirts Needed By Size: SMALL ____ MEDIUM____ LARGE____ X-LARGE____

Available Volunteer Opportunities – Please Check Your Area(s) of Interest

Set-up (7:00 AM – 8:00 AM) Your job may include setting up tables and chairs, unloading supplies and setting them out on tables or assisting with refreshments & registration supply set-up.

Traffic Control (7:00 AM – 9:00 AM) Your task will be to keep traffic moving as freely and smoothly as possible leading up to and during the event. You will direct cars to the entrance of the park, to the shelter, and to parking spaces.

Registration/Greeting/T-shirt Distribution (7:00 AM – 9:00 AM) – You will be responsible for signing-in walkers and handing out t-shirts.

Refreshment Stations (7:00 AM – 11:30 AM) You will help get the refreshment stations ready before participants arrive and will help with re-stocking items as necessary through the morning and with clean-up after the walk is over.

Walk Route Assistants & Cheerleaders (9:00 AM – 11:00 AM) Your role is to ensure that walkers have a safe and fun experience every step of the way. This may include passing out bottled water, holding up signs along the walk route, or assisting participants in wheelchairs.

Clean-Up (10:30 AM – 12:00 PM) You will help by taking down event signage, packing up supplies, and picking up any trash from the walk.

Please sign me up for any needed volunteer jobs.

Please return this completed form to:Dorian Fredricksen

PTRC Area Agency on Aging, 2216 West Meadowview Road, Suite 201, Greensboro, NC 27407Fax: (336) 632-0457

Email: dfredricksen@ptrc.org