Please indicate all of your interests or skills for volunteering:
Visit Children
Visit Convalescent Homes
Visit Hospitals
Visit Developmentally Disabled
Volunteer clerical work
Phone calling (calling existing volunteers)
Fund Raising
New Volunteer Recruitment
Computer work (email, data entry, web
pages, database)
Publications (newsletters, brochures,
forms, etc.)
Evaluating New Visit Sites
Being a Team Captain
Helping with mailings to current volunteers
Membership on the Board of Directors
Site Selection
Please select the specific site(s) where you would like to volunteer.
Only sites open for new members are listed.
If you would like to join more than one
visit team, select "additional site"
instead of "alternate choice".
Click here to see
the entire list of site locations, visit schedules, and restrictions .
I need more information. Please have
someone call me.
(please choose a visit site - required)
Almaden Health & Rehabilitation Center, 3rd Thurs. 10:30am
Belmont
Convalescent Hospital - 4th Mon. 10:15am
Belmont
Village of San Jose, 2nd Sat. 2:00pm (TB test required)
Belmont
Village of San Jose, 3rd Sat. 2:00pm
Belmont
Village of Sunnyvale, 3rd Tues. 9:00am
Cedar Creek, 3rd Sat.
10:30 am (Cats only)
Courtyard Care
Center, 1st Sat. 1:30pm (no cats)
Driftwood Health
Care, 2nd Sat. 10:30am
EMQ - Los Gatos, 3rd
Sat. 11:00 am
Forum at
Rancho San Antonio, 1st Sat. 9:30 am
Gilroy
Health Care & Rehab. Center, 3rd Thurs. 5:00 pm
Hillview
Convalescent Hospital, 3rd Wed. 10:30 am
Hope Rehabilitation,
2nd Tues. 10:00am
Live Oak Cupertino-Sunnyvale,
2nd Wed. 1:00pm
Lucille Packard Waiting
List, (Please sign-up for LPCH Volunteer Orientation
Manor Care 2nd Sat. 1:30
pm (TB testing required)
Manor Care 4th Sat. 1:30
pm (TB testing required)
Mills-Peninsula
Hospital Burlingame, - 2nd Mon. 7:00 pm (Small animals only)
Mission De La Casa,
3rd Sat. 3:00 pm
Mission
Skilled Nursing Facility, 2nd Sat. 10:00 am
Pacific Coast
Manor, 3rd Sun. 11:00 am
Pacific Gardens
3rd Sun. 10:30 am
Pacific
Hills Manor Convalescent Hospital, 2nd Tue. 10:30 am
Pacific
Hills Manor Convalescent Hospital, Last Wed. 6:30 pm
San Jose Family
Shelter, 2nd Sat. 10:30 am
San
Tomas Convalescent Hospital, 2nd Wed. 6:30 pm
Santa
Clara County Juvenile Hall, 4th Sat. 9:35 am (must be at least 18, security
check required)
Saratoga Retirement Community
4th Sun. 2pm
Sequoias Portola
Valley, 2nd Sat. 10:30 am
Sunny
View Retirement Community, 2nd Sat. 10:00 am
Sunny
View Retirement Community, 4th Sat. 10:00 am
Sunnyside Gardens,
2nd Thur. 9:30 am (no large animals)
Sunnyside Gardens,
4th Thur. 9:30 am (no large animals)
Sunshine Villa, 3rd
Sat. 11:00am
Vista
Manor Nursing Facility, 2nd Tue. 9:45 am
Westgate Villa, 3rd Sat. 1:30pm
(no cats allowed)
alternate choice
additional site
(please choose a visit site)
Almaden Health & Rehabilitation Center, 3rd Thurs. 10:30am
Belmont
Convalescent Hospital - 4th Mon. 10:15am
Belmont
Village of San Jose, 2nd Sat. 2:00pm (TB test required)
Belmont
Village of San Jose, 3rd Sat. 2:00pm
Belmont
Village of Sunnyvale, 3rd Tues. 9:00am
Cedar Creek, 3rd Sat.
10:30 am (Cats only)
Courtyard Care
Center, 1st Sat. 1:30pm (no cats)
Driftwood Health
Care, 2nd Sat. 10:30am
EMQ - Los Gatos, 3rd
Sat. 11:00 am
Forum at
Rancho San Antonio, 1st Sat. 9:30 am
Gilroy
Health Care & Rehab. Center, 3rd Thurs. 5:00 pm
Hillview
Convalescent Hospital, 3rd Wed. 10:30 am
Hope Rehabilitation,
2nd Tues. 10:00am
Live Oak Cupertino-Sunnyvale,
2nd Wed. 1:00pm
Lucille Packard Waiting
List, (Please sign-up for LPCH Volunteer Orientation
Manor Care 2nd Sat. 1:30
pm (TB testing required)
Manor Care 4th Sat. 1:30
pm (TB testing required)
Mills-Peninsula
Hospital Burlingame, - 2nd Mon. 7:00 pm (Small animals only)
Mission De La Casa,
3rd Sat. 3:00 pm
Mission
Skilled Nursing Facility, 2nd Sat. 10:00 am
Pacific Coast
Manor, 3rd Sun. 11:00 am
Pacific Gardens
3rd Sun. 10:30 am
Pacific
Hills Manor Convalescent Hospital, 2nd Tue. 10:30 am
Pacific
Hills Manor Convalescent Hospital, Last Wed. 6:30 pm
San Jose Family
Shelter, 2nd Sat. 10:30 am
San
Tomas Convalescent Hospital, 2nd Wed. 6:30 pm
Santa
Clara County Juvenile Hall, 4th Sat. 9:35 am (must be at least 18, security
check required)
Saratoga Retirement Community
4th Sun. 2pm
Sequoias Portola
Valley, 2nd Sat. 10:30 am
Sunny
View Retirement Community, 2nd Sat. 10:00 am
Sunny
View Retirement Community, 4th Sat. 10:00 am
Sunnyside Gardens,
2nd Thur. 9:30 am (no large animals)
Sunnyside Gardens,
4th Thur. 9:30 am (no large animals)
Sunshine Villa, 3rd
Sat. 11:00am
Vista
Manor Nursing Facility, 2nd Tue. 9:45 am
Westgate Villa, 3rd Sat. 1:30pm
(no cats allowed)
alternate choice
additional site
(please choose a visit site)
Almaden Health & Rehabilitation Center, 3rd Thurs. 10:30am
Belmont
Convalescent Hospital - 4th Mon. 10:15am
Belmont
Village of San Jose, 2nd Sat. 2:00pm (TB test required)
Belmont
Village of San Jose, 3rd Sat. 2:00pm
Belmont
Village of Sunnyvale, 3rd Tues. 9:00am
Cedar Creek, 3rd Sat.
10:30 am (Cats only)
Courtyard Care
Center, 1st Sat. 1:30pm (no cats)
Driftwood Health
Care, 2nd Sat. 10:30am
EMQ - Los Gatos, 3rd
Sat. 11:00 am
Forum at
Rancho San Antonio, 1st Sat. 9:30 am
Gilroy
Health Care & Rehab. Center, 3rd Thurs. 5:00 pm
Hillview
Convalescent Hospital, 3rd Wed. 10:30 am
Hope Rehabilitation,
2nd Tues. 10:00am
Live Oak Cupertino-Sunnyvale,
2nd Wed. 1:00pm
Lucille Packard Waiting
List, (Please sign-up for LPCH Volunteer Orientation
Manor Care 2nd Sat. 1:30
pm (TB testing required)
Manor Care 4th Sat. 1:30
pm (TB testing required)
Mills-Peninsula
Hospital Burlingame, - 2nd Mon. 7:00 pm (Small animals only)
Mission De La Casa,
3rd Sat. 3:00 pm
Mission
Skilled Nursing Facility, 2nd Sat. 10:00 am
Pacific Coast
Manor, 3rd Sun. 11:00 am
Pacific Gardens
3rd Sun. 10:30 am
Pacific
Hills Manor Convalescent Hospital, 2nd Tue. 10:30 am
Pacific
Hills Manor Convalescent Hospital, Last Wed. 6:30 pm
San Jose Family
Shelter, 2nd Sat. 10:30 am
San
Tomas Convalescent Hospital, 2nd Wed. 6:30 pm
Santa
Clara County Juvenile Hall, 4th Sat. 9:35 am (must be at least 18, security
check required)
Saratoga Retirement Community
4th Sun. 2pm
Sequoias Portola
Valley, 2nd Sat. 10:30 am
Sunny
View Retirement Community, 2nd Sat. 10:00 am
Sunny
View Retirement Community, 4th Sat. 10:00 am
Sunnyside Gardens,
2nd Thur. 9:30 am (no large animals)
Sunnyside Gardens,
4th Thur. 9:30 am (no large animals)
Sunshine Villa, 3rd
Sat. 11:00am
Vista
Manor Nursing Facility, 2nd Tue. 9:45 am
Westgate Villa, 3rd Sat. 1:30pm
(no cats allowed)
Site selection not listed above or comments:
Please print this form and include it when you mail your other forms to us. Thank you.