Intergenerational 65+ Volunteer Form 2025-26

Intergenerational 65+ Volunteer Form

Thank you for your interest in DOROT's Intergenerational Programming.
Application Process: Complete this application. Any questions that are not pertinent to you may be left blank. Someone will get in touch with you about your interests and application.

Please Note: if you have previously participated as an adult volunteer in DOROT's intergenerational program you DO NOT NEED to complete this application.

Contact us at Sharemywisdom@dorotusa.org with any questions.
Name*

First NameLast Name
E-mail*
example@example.com
Address*

Street Address

Apartment (if applicable)

CityState / Province

Postal / Zip Code
Preferred Phone Number:*
Mobile Number
Home Number
Birth Date*

MonthDayYear
Gender*
What pronouns do you use? (choose/describe all that apply)

She/Her/HersHe/Him/HisThey/Them/TheirsOther
Please describe yourself. Check all that apply: (For demographic purposes only, please select all that apply)*

WhiteBlack or African AmericanHispanic, Latino or Spanish originAsianAmerican Indian or Alaska NativeNative Hawaiian or other Pacific IslandPrefer not to answerOther
Do you consider yourself to be...? (For demographic purpose only, please select all that apply)*

ChristianJewishMuslimBuddhistHinduIndigenous ReligionAgnosticPrefer not to answerOther
Please let us know your employment status. Choose all that apply:*

Employed Full-TimeEmployed Part-timeNot presently employedAt home parent/caretakerRetired
Place of Employment:
Occupation:
Other Occupation:
Have you served in the United States Armed Services?*

YesNo
Choose ALL that apply: I speak the following languages in addition to English

American Sign Language (ASL)ArabicCantoneseFrenchGermanHebrewHungarianItalianMandarinPolishRomanianRussianSpanishYiddishOther
Have you volunteered with DOROT in the past?*

YesNo
Have you participated in GENuine Connections before?

YesNo
I heard about DOROT through*

DOROT EmailDOROT WebsiteFamily/Friend/NeighborReligious InstitutionCommunity GroupNORCNewspaperTVFacebookInstagramSocial MediaGoogleRadioGovernment OfficeUJA/FederationAARPRSSNYCBrooklyn Public LibraryOther
What motivates you to participate in DOROT's Intergenerational Programming?*
Please see below for intergenerational opportunities that are available to Adults 65+ throughout the year. Provided are brief descriptions of each.

Select those that are of interest to you or would like to receive more information on.
Intergenerational Chess

From beginners to experts, all are welcome. DOROT’s Intergenerational Chess program is about strengthening skills and creating friendships across the chessboard. Each week older adults play chess with experienced chess players who are in grades 6-12. The teens are all capable of teaching and playing individuals with a range of chess abilities, so no previous chess experience is required. A Chess Master is also on site to provide help, guidance and game strategies to players.
Intergenerational Chess:

Intergenerational Chess, Tuesdays, 4:30 PM - 6:00 PM on 2/3, 2/10, 2/24, 3/3, and 3/10
Tech Help

From smart phones to tablets and computers, teens will be given the tools and preparation to assist DOROT adults navigate the technologies that keeps us just an app away!
Tech Help, Thursdays, 4:30PM - 5:30PM; You can select one or more dates:

12/412/11
Weekly Home Visits

Make connections with teens from the comfort of home (limited to the Upper West and Upper East Side of Manhattan).
Home Visits:

Home Visits; Available Mondays, 4:30 PM - 6:30 PMHome Visits; Available Tuesdays, 4:30 PM - 6:30 PMHome Visits; Available Wednesdays, 4:30 PM - 6:30 PMHome Visits; Available Thursdays, 4:30 PM - 6:30 PM
Tea and Chat

Older adults meet with high school students for games, light refreshments and sharing stories.
Tea and Chat:

Tea and Chat; Wednesdays, 4:30 PM - 5:30 PM; 10/29, 11/5, 11/12, 11/19, 12/3, and 12/10.
Virtual and Online Programming: Get to know teens and other adults through a variety of Zoom programs via GENuine Connections.

Yes, send me more information about GENuine Connections.
School Partnerships: Are You Interested in Joining Students from K-12 for a Variety of Programs?

Yes
I give DOROT, Inc. the irrevocable right to take and use my name, picture, likeness, photograph, film, videotape, and/or verbal or submitted written statement in all forms and media and in all manners for any editorial, promotional, fundraising, internet (website) and/or publicity purposes of DOROT, Inc. I understand that I may be identified by name, age and/or occupation in connection with the public, private and/or internal use of this material. I grant this consent as a voluntary contribution to DOROT, Inc. and waive any rights I may have in connections with any use of the material, including any right to inspect or approve the finished use, including any written copy that may be created in connection with such use.*

YesNo
Have you, since attaining the age of 18, been convicted of a criminal offense? (Conviction will not disqualify you from volunteering unless there is a direct relationship to the volunteer task or your volunteer activity would pose an unreasonable risk to property or safety.)*

YesNo
Next Steps:

Someone from DOROT will reach out to you about your interests and application, and to answer any questions you may have about our intergenerational programming.
Contact us at sharemywisdom@dorotusa.org with any questions.

Thank you again for your interest in DOROT's Intergenerational Programs.
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