TimeBank Application Form for Individuals

    Member Information

    1. Do you speak English?

    Do you speak another language?

    2. Gender

    3. Ethnicity

    4. Employment Status

    5. How comfortable are you using any online meeting software (e.g.: Zoom, Microsoft Teams, Google Meet, etc.) to participate in a virtual meeting?

    6. What is your preferred meeting software?

    Service Checklist (Check off all that apply)


    I can Offer

    I would like to Receive


    “How to operate a tablet/ a cell phone/ Zoom” webinar

    Health and Wellness

    Virtual stretching/ Tai Chi/ yoga/ meditation classes


    Virtual knitting/ crafting/ painting classes

    Virtual baking/cooking classes

    Participate in virtual live music event hosted by Senior Center

    Virtual game/ book club (facilitator sharing their screen)

    Housing Assistance

    Provide suggestions on basic home repair solutions

    Help with connecting to a trustworthy handyman via telephone, text, or online

    Provide support on yard work, gardening, or basic snow removal

    Community Assistance

    Admin support for Age-Friendly Glen Cove (e.g.: attending virtual community meetings, creating surveys and lists)

    Admin support for timebanking

    Admin support for other organizations


    Tutoring/mentoring (e.g.: teaching language, finance, art…):

    Test prep: (circle subjects)

    Personal References (Personal references must be 21 years of age or above.)