Volunteer Application Name Home Phone Cell Phone Address City Zip Code Email Address Date of Birth Preferred contact method: Preferred contact method: Phone Email How often you are willing to volunteer: How often you are willing to volunteer: Weekly Monthly Annually (Special Events) Are you comfortable with senior adults? Are you comfortable with senior adults? Yes No Possibly Which of the following programs interest you (check all that apply): Which of the following programs interest you (check all that apply): Friendly Visits with Seniors (monthly) Friendly Phone Calls to Seniors Delivery/Errands Driver Meal Delivery Food Pantry Helpers Lead or Help with Shabbat Services Pro Bono Professional Services Behind the Scenes Behind the Scenes Meal Preparation Assemble Simcha Centerpieces Bagel Pick-Up Office Assistance Holidays & Special Events Holidays & Special Events Make Special Event/Holiday Bags Help at Special Events/Holidays Lead or Help with a Special Programs Please let us know about any other talents or knowledge you have or areas that interest you: 14 + 14 = Submit
