Application

Thank you for your interest in volunteering at the JCC! Simply fill out the form below and our Volunteer Coordinator will contact you shortly. All volunteers must complete the volunteer application, meet with the Volunteer Coordinator, and participate in training prior to volunteering at the J.

Want to volunteer or participate in our Shalom Phone program? Use this form instead.

Volunteer Application

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

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

Date of Birth(Required)

Emergency Contact Information

Have you ever been convicted of any offense against the law, other than minor traffic violations?(Required)

Yes

Emergency Contact Name

First Last

Emergency Contact Email

Emergency Contact Phone

Skills/Interests

Areas of Interest/Knowledge

Which Languages Do You Speak?

Experience, References & Availability

Volunteer Experience(Required)

Please include the organization’s name and the duties you had at that organization

References(Required)

Please include your references name, occupation, email, phone and your relationship to them.

How Many Hours Do You Wish to Help Per Week?(Required)

How Frequently Would You Like to Help?

What Days/Times Are You Available?(Required)

Signature

Conduct(Required)

I understand that if I become a volunteer for the agency, I must conform to the rules of the agency. I understand that I have the right to terminate my volunteer status at any time or without notice, with or without cause, and that the agency has a similar right.

Confidentiality(Required)

Confidentiality: I understand that if I become a volunteer with the agency, confidential information regarding the agency and/or its clients, customers and employees may be available to me and that this information must not be disseminated or used except for the agency’s benefit. I agree to keep all information about the agency, including such information regarding its business methods, protocols, clients, customers and employees, confidential and shall not disclose this information to any unauthorized personnel whether within or without the agency.

Authorization(Required)

I certify that the information on this application is correct to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of information will result in the termination of my volunteer status with Mayerson JCC. The JCC has my permission to contact my references and check on information contained on this application, if deemed necessary.

Parent/Guardian Signature if Under 16 Years of Age:(Required)

First Last

The Mayerson JCC is closed for Passover Tuesday, April 23. The J Cafe is closed April 22 – April 30.

Application

Volunteer Application

Emergency Contact Information

Skills/Interests

Experience, References & Availability

Signature