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Request Visits from a Golden Companion

Who We Are

Golden Companion is a community-based companionship program through Shepherdstown Shares that connects caring volunteers with seniors who could use a friendly face and listening ear.


 

What You’ll Do
  • Spend 60-90 minutes visiting with an Golden Candidate 65+
  • Offer conversation, light activities, or your simple presence
  • Bring joy, comfort and human connection
 
Why Join Us?
Because a GOLDEN heart can brighten someone’s day- and change yours too!

CONTACT INFORMATION

Birthday
Month
Day
Year
Multi-line address

EMERGENCY CONTACT

HEALTH AND MOBILITY

HEALTH AND MOBILITY

Do you have any Mobility Limitations?
Do you require assistance with daily activities

IINTERESTS & PREFERENCES

PREFERRED DAYS/TIMES FOR VISITS

AVAILABILITY

ADDITIONAL INFORMATION

CONSENT AND AGREEMENT

The Golden Companions program provides volunteer companionship for social and emotional support.


Visits are not a replacement for medical or professional care.


My information will be kept confidential and shared only with my assigned companion.


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