Apply to Volunteer - Jewish Family Service of LA

Personal Info

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone (Home)

Telephone (Cell)

Email

Birthdate

Are you 18 years or older? Check Yes or No.

Yes
No

Volunteer Experience & Interest

How did you hear about us?

Volunteer Experience?

Work experience, including name of organizations for which you've work(ed)?

What sort of volunteer work are you interested in?

Availability

Which days are you available? Check all that apply.

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

What time of day? Check all that apply.

AM
PM

Hours per week?

Can you commit to a regular schedule?

6 months
12 months
Enter your own value

Enter a value

Health & Emergency Contact Info

Do you have any health limitations? Select Yes or No

Yes
No

If yes, please explain:

Emergency Contact Name

First Last

Emergency Contact Phone

Relationship to you:

Personal References in the sections below.

Please list three unrelated personal references

Personal Reference #1

Name

First Last

Phone

Email

Relationship to you:

Personal Reference #2

Name

First Last

Phone

Email

Relationship to you:

Personal Reference #3

Name

First Last

Phone

Email

Relationship to you:

Other

Have you contacted any JFS programs directly? If so, who did you contact?

Any special skills you can offer?

Can you speak another language? Do you have any specific licenses or certifications? (Ex: Certified Yoga Instructor, Registered Nutritionist, Teacher, etc.)

Volunteer Application

Personal Info

Volunteer Experience & Interest

Availability

Health & Emergency Contact Info

Personal References in the sections below.

Personal Reference #1

Personal Reference #2

Personal Reference #3

Other

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