Skip to content
Masons of California
Search
(888) 466-3642
Font Size
A
A
GIVE
Main Menu
Our Campuses
Covina Campus
Independent Living
Services & Community Features
Apartment Features
UNION CITY CAMPUS
Independent Living
Assisted Living
Skilled Nursing
Apartment Features
Services & Community Features
The Pavilion
Transitions
BECOME A RESIDENT
Getting Started
Eligibility
Applying for Admission
Wait Time
Payment
ACACIA CREEK
Our Campus
Masonic Life
Resident Lifestyles
In Your Community
SENIOR OUTREACH
Services Offered
Eligibility & Fees
Get Started
FAMILY OUTREACH
Services Offered
Eligibility & Fees
Get Started
MASONIC ASSISTANCE
Masonic Assistance Request Form
Outreach Eligibility
One Time Financial Assistance
Ongoing Financial Assistance
Get Started
Shared Housing Program
MASONIC VALUE NETWORK
In-Home Care Providers
Senior Communities
Senior Care Placement Services
Pharmacy Discount Program
Youth and Families
History
Masonic Youth Orders
Community
Accessibility
Client Stories
Lodge Resources
LODGE OUTREACH PROGRAM
About the Program
Get Involved
Lodge Outreach Materials
EDUCATION AND RESOURCES
Training Videos
Events + Updates
Lodge Outreach Materials
VISIT ON-CAMPUS LODGES
Destiny Lodge
Siminoff Daylight Lodge
Outdoor Degree Site
Sign Up for UC Outdoor Degree Site
About Us
Staff
Careers
Volunteer at the Homes
Volunteer Application
Community Partnerships
Board of Directors
Contact Us
General Inquiry Form
News + Events
News Articles
Campus Master Plan
Calendar
Social Media
Media + Press Releases
VOLUNTEER
Home
>
Volunteer at the Homes
>
Volunteer Application
Volunteer Application
Thank you for applying to be a volunteer at the Masonic Homes of California!
Step
1
of
12
- Personal Information
8%
Name
(Required)
First
Middle
Last
Date of Birth
(Required)
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Street Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email Address
(Required)
Telephone Number – Home
(Required)
Telephone Number – Work
Cellphone Number
(if other than home)
What position are you applying for?
(Required)
Teen
Adult (18 and older)
AKA – Also Known As
Social Security Number
(Required)
How did you hear about us?
(Required)
Have you ever been convicted of a felony?
(Required)
Yes
No
(A conviction will not necessarily bar you from being able to participate)
You were convicted of a felony? Please explain:
(Required)
If accepted into the Volunteer/Community Resource Program, do you have reliable transportation to and from the Masonic Home?
(Required)
Yes
No
Do you have any physical condition that may limit your activities?
(Required)
Yes
No
Please explain:
(Required)
Please check the box beside the opportunities that interest you:
(Required)
Residential Care
– Assist residents to and from activities, appointments, or church; play games, take residents for walks, or visit with residents individually; prepare and serve refreshments or assist with parties/social events; or distribute magazines/books to residents.
Clerical Support
– Volunteer doing computer work, filing, making copies, etc. in an office setting.
Transportation
– Be a volunteer driver.
Outings
– Accompany residents on various outings, such as sports games, shopping trips, restaurants, and movies. (An activities calendar will be mailed in the monthly volunteer newsletter)
Special Events
– Help our staff during special events (such as holiday decorating, casino nights, Jam & Jelly, volunteer brunch, etc.), as well as during monthly programs.
Special Projects
– Help in one of our on-campus resident services, such as the clothing shop, gift shop, ice cream parlor, or library.
Miscellaneous
– Other areas to volunteer include teaching, technology, gardening, etc.
Other
The list above is not inclusive of all the opportunities available at the Masonic Home. If there is something not listed above that you are interested in volunteering please let us know.
If interested in driving, please provide your current DMV license number
(Required)
You selected "Other", please explain:
(Required)
Select the highest grade completed
(Required)
High School: 9th
High School: 10th
High School: 11th
High School: 12th
Jr. College
College: 1st year
College: 2nd year
College: 3rd year
College: 4th year
Other
Name of the school/college currently attending?
Please list any certificates of training, certifications, licenses or vocational registrations:
Add
Remove
Employment Status
Employed (Full time)
Employed (Part-time)
Unemployed
Retired
Student
Other
Current Employer:
(Required)
Job Title:
(Required)
Current Duties:
(Required)
May we contact your current employer for a reference?
(Required)
Yes
No
Describe any previous work experience that may be relevant to the volunteer/community resource program position(s):
Title / Position
Responsibilities
Months worked
Add
Remove
First Reference
Name
(Required)
First
Last
Telephone Number
(Required)
Email
(Required)
Relationship
(Required)
Second Reference
Name
(Required)
First
Last
Telephone Number
(Required)
Email
(Required)
Relationship
(Required)
Check all skills in which you are proficient
(Required)
Accounting
Administrative
Animal Care
Audio Visual
Bird Care
Carpentry
Cooking
Data Entry
Desktop Publishing
Graphic Design
Management
Photography
Public Relations
Public Speaking
Sewing
Teaching / Lecturing
Computer Skills
Web Design
Writing / Editing
Other
You selected "Other", please explain:
(Required)
Please list any extracurricular activities, clubs, volunteer work, hobbies, etc.
Add
Remove
Date you are able to start
(Required)
MM slash DD slash YYYY
Last day of school (if you are a student)
MM slash DD slash YYYY
First day of school (if you are a student)
MM slash DD slash YYYY
Please indicate the timeframes that you are available to volunteer
(Required)
Days
Nights
Weekends
Summer
Holiday Breaks
Other
(Schedules can be flexible or structured.)
What other times are you available to volunteer?
(Required)
Why are you interested in contributing your time and talents at the Masonic Homes?
(Required)
Indicate if
Court Referral
.
For
School Community Service
indicate number of hours needed.
Have you volunteered before?
(Required)
Yes
No
Where did you volunteer?
(Required)
How many months / years did you volunteer?
(Required)
Why did you leave?
(Required)
What did you like most about volunteering?
(Required)
What did you like least about volunteering?
(Required)
What do you expect to gain from volunteering at the Masonic Homes?
(Required)
What qualities do you have that would make you a good choice for our program?
(Required)
Signature of Applicant
Check the box to indicate that you have read the legal agreement:
(Required)
I certify that the information given in the application is true and correct and has been given voluntarily. I understand that this information may be disclosed to any party with legal and proper interest, and I release the Masonic Homes of California from any liability whatsoever for supplying such information. I understand I have the option to opt out of the volunteer program at any time with a 30 day written notice and must surrender my badge and car tag if applicable. I acknowledge the attached information is kept on record indefinitely. I understand that I will not be paid for my services as a Volunteer/Community Resource Program participant at the Masonic Homes of California.
Signature of Applicant:
(Required)
Reset signature
Signature locked. Reset to sign again
Date
(Required)
MM slash DD slash YYYY
Parent or Guardian Acknowledgement
If applicant is under 18 years of age, a parent or guardian must check this box to indicate that they have read the legal agreement.
I have read and understand this application and I give my child permission to be a volunteer at the Masonic Homes. I accept full responsibility for my child’s participation in this program. Additionally, I consent to emergency medical attention in the event that I cannot be reached.
Signature of Parent or Guardian:
Reset signature
Signature locked. Reset to sign again
Date
MM slash DD slash YYYY
Emergency Contact Name
(Required)
First
Last
Relationship
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Telephone Number – Home
(Required)
Telephone Number – Work
Cellphone Number
(if other than home)
Car License Plate Number
(Required)
To ensure the security of our staff and residents, all staff members, contract providers, Volunteers, and Residents are required to display a vehicle security tag on the rear-view mirror or placed in a location, which is visible to the Security and Masonic Homes staff. The following information is required for any vehicle parked on Masonic Homes’ property.
Car Make, Year, and Model
(Required)
Color
(Required)
Vehicle Security Tag Permit Acknowledgement
(Required)
I agree
I understand that I am required to display this security tag permit according to the Security/Safety guidelines. The security permit authorizes access to the Facility and parking privileges. Should I misplace or lose the security tag permit, I am required to contact the Facility Services Department immediately. A new Security Tag permit will be issued at a cost of $5.00 per tag. Failure to present this Security Tag permit at the gate will result in a security check, which will delay my entrance to the Facility. Flagrant violation of the security and parking restrictions may result in verbal or written disciplinary action.
Email
This field is for validation purposes and should be left unchanged.