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

Viewing and printing the online application requires the free Adobe Acrobat Reader. Get it by clicking here.



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

 






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