Membership Application

Receive Help | A Little Help

Become a Member with A Little Help

Thank you for your interest in becoming a member of A Little Help! We're excited to learn more about you and explore how we can support you through our network of caring volunteers.

Once you submit the application below, a member of our team will contact you within 10 business days to discuss next steps.

If your application is approved, we'll schedule an in-person Warm Welcome visit to get to know you better, assess your needs, and share more about our services.

Our volunteers assist older adults (ages 55+) in Denver, Jefferson, Arapahoe, Larimer, and parts of Weld and Adams Counties. If you're not sure what types of help we offer, please visit our How We Help page.

Member Eligibility

To qualify for membership, the following basic criteria must be met:

  • Age: 55 or older
  • Location: Live in an area served by A Little Help
  • Residence: Have a permanent place of residence
  • Need: Have support needs that align with our volunteer services
  • Communication: Able to communicate independently by phone or email

If you meet these requirements, please continue with the application below. If you have questions, feel free to explore our website or contact us directly.

Our Commitment to Safety

A Little Help is committed to maintaining a safe and supportive environment for all members and volunteers. As part of this commitment:

  • All volunteers complete a criminal background check during onboarding.
  • We reserve the right to review the sex offender registry and, if needed, conduct a background check for members as well.

We may reach out for additional information to complete this process. These safety measures help protect the well-being of everyone in our community.

FIRST APPLICANT
NOTE: Any reference to "you", "your", "yourself" in this form apply to the applicant to receive ALH service. If you are filling out this form on behalf of the applicant to services, make sure you fill out the fields related to the applicant, marked as "you" / "your" with information about the applicant themselves.
About You
How should we address you?
Postal Address
PO Box
Contact Details
A Little Help may occasionally send text messages to your mobile phone to communicate program and fundraising events. If you do not wish to receive text messages, including messages to confirm an activity request, or that a volunteer has accepted your request, please check the box below.
Unfortunately, if you are not able to communicate by phone or email with our office team or our volunteers, then you do not qualify to receive help and we have to deny your application.
Personal Details
Tell us more about yourself

All of the questions in this section apply exclusively to the person applying for ALH services, identified in the section above.

Physical Health
If other, please detail below:
Please check the conditions that apply to you.
Living Environment
If other, please enter below:
Technology
Financial Situation
YOUR HOUSEHOLD
Your Partner
How should we address your partner?
Your Partner's Contact Details
A Little Help may occasionally send text messages to your partner mobile phone to communicate program and fundraising events. If you do not wish to receive text messages, including messages to confirm an activity request, or that a volunteer has accepted your request, please check the box below.
Your Partner's Personal Details
Physical Health
Living Environment
Technology
Financial Situation
If there are more than 2 people in addition to you, and maybe your partner, in the house, you will have the opportunity to share their details with us when we call you.
Household Member 3
A Little Help may occasionally send text messages to members of your household to communicate program and fundraising events. If you do not wish to receive text messages, including messages to confirm an activity request, or that a volunteer has accepted your request, please check the box below.
Living Environment
Financial Situation
Household Member 4
A Little Help may occasionally send text messages to members of your household to communicate program and fundraising events. If you do not wish to receive text messages, including messages to confirm an activity request, or that a volunteer has accepted your request, please check the box below.
Living Environment
Financial Situation
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