You can request a paper application by calling the ADRC office at (608) 326-0235 or printing off the application at the link below.
Due to the vulnerable population that we serve, you must also fill out a Background Information Disclosure Form (link below, or one will be sent out with a paper application request).
If you are applying for a volunteer position that involves driving your personal vehicle and are interested in being reimbursed for your mileage, please also complete the W9 form -link below.
All forms can be submitted to Roby Fuller via email at rfuller@co.crawford.wi.gov or mailed to:
ADRC
Att: Roby Fuller
225 N. Beaumont Rd. Suite 117
Prairie du Chien, WI 53821
SUPPORTING DOCUMENTS
CURRENT VOLUNTEER DOCUMENTS