Please complete this application form if you are interested in becoming a Jewish Family Service Agency volunteer. Once you complete the form, click the Continue button at the bottom.


Name and address


How Did you hear about JFSA's Program?


Preferences

Please select any volunteer position you are interested in



Availability

Please indicate the days and times you are usually available to volunteer.



Delivery Drivers

Delivery drivers must have a vehicle and clean Motor Vehicle Record, which will be pulled.


*Food Pantry Deliveries can vary from week to week depending on need, are you willing to be called 48 hours in advance if we need your assistance?



How many deliveries are you interested in doing?

For Delivery Drivers, please tell us how many deliveries per volunteer shift would you like to do. Minimum of (1) - Maximum of (4)



Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



Social Media/Photo Release

As a participant in JFSA’s volunteer program, I understand that photographs and/or videos may be taken in an effort to promote the organization to the general public. I agree to allow JFSA’s unrestricted use of photographs taken of me, if applicable, in the course of participation in activities sponsored by JFSA. JFSA will have total ownership of these materials, and the right to edit and use for purposes of program promotion, advertising, or public relations. I understand that JFSA intends to use such photographs only in connection with official JFSA publications and documents. I agree to the Photo and Social Media Consent Statement.



Special Accommodations

Do you require any special accommodations or have physical or medical considerations that may impact a volunteer assignment?



Emergency Contact


Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.



I acknowledge that I have read and understand the following statements:

• I understand that in my capacity as an JFSA volunteer I will encounter confidential information. I agree to protect this information to the best of my ability and not to disclose it during or after my service as a volunteer has ended.

• I understand that in my capacity as a JFSA volunteer I will encounter a diverse population and will adhere to the JFSA non-discrimination policy:

o JFSA is committed to providing a work environment that is free of discrimination and harassment. We expressly prohibit any form of unlawful employee harassment based on race, color, religion, sex, national origin, age, and disability, status as a Vietnam-era or special disabled veteran, or status in any group protected by federal, state or local law.

• I understand that if I use my personal automobile in my volunteer service, I will arrange to keep in effect automobile liability insurance equal to or greater than the minimum requirements of the state of Nevada. I will also keep in effect a valid driver's license.

• I certify that the information contained in this enrollment form is true and correct; and I understand that if I falsified this information, I can be immediately dismissed.