must have a parent's signature on their application. To download an application in PDF format, click here. Applications are also available in our office at:

Southwest Focal Point Senior Center
301 N.W. 103rd Avenue
Pembroke Pines, FL 33026

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Southwest Focal Point Senior Center
301 N.W. 103rd Avenue
Pembroke Pines, FL 33026

Phone:

954-450-6888
954-450-6855
954-450-6731

 






Senior Center Volunteer Application
First Name:    Last Name:
Address:
City:
State:    Zip:
Home Phone:    Office Phone:
Date of Birth:
How did you learn about us?
Education (highest level):
Other Languages:
Days and hours available per week:
Emergency Contact Information
Name:    phone:
Address:
City:
State:    Zip:
Community Service for Court Order
Number of Hours Needed:
The offense:
Probation officer's name:
Phone:    Completion time:
* If you miss one day, you will not be able to complete your hours at
  S.W.F.P. unless you have a legitimate excuse.
Medical Information
Last checkup:
Have you had a TB test within the last year? Yes No
Volunteer Preference Category:
Days and times available: (Check all that apply)

      Monday          
      Tuesday          
      Wednesday          
      Thursday          
      Friday