Volunteer Application Form

Please complete this application form if you are interested in becoming a volunteer on the Menorah Park Campus or The Weils, our Chagrin Falls location. Once you complete the form, click the submit button at the bottom.

Name and address

Education Information

If your school is not listed in the drop down menu, choose the highest type of education you have received and write the name of your school in the text box.

Education:

School:

Emergency Contact

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2

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Other phone:

Relationship:

Availability

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

Special Skills

Jr. Volunteer Activity Interest

This section is for those volunteers 12 to 18 years old. If you are over the age of 18 skip to the reference section.

Reference

Each volunteer is required to submit two signed reference forms to complete his/her application. References should be from someone in a leadership/advisory role (teacher, clergy, counselor, employer, volunteer supervisor, civic/professional group). The forms must be received to proceed in the volunteer process.

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2

First name:

Last name:

Title:

Street 1:

Street 2:

City:

State:

Zip:

Work phone:

Email address:

Relationship:

Age Requirements

You must be at least 13 to volunteer alone, but you may come with a parent at any age. You must be at least 13 to push a wheelchair.

Covid Vaccine Required

Please bring your vaccine card to your interview for verification.

Submit Application

I certify the statements made in this application are true and correct and I understand that misrepresentation and/or withholding of information may result in the rejection of this application or my discharge, if discovered after volunteer service begins. I understand this information may be disclosed to any party with legal and proper interest and I release the agency from liability whatsoever for supplying such information.

Acceptance and placement in Montefiore's junior volunteer program is based upon an interview and the needs of Montefiore. I cannot start any volunteer assignment at Montefiore until I successfully complete all the steps in the volunteer process: interview, references, forms and orientation.

I Agree