Jewish Family Service Volunteer Application

Thank you for your interest in volunteering at Jewish Family Service. Please complete this application form and click the submit button at the bottom. We appreciate your support!

Name and Address

First name:

Last name:

Title:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

Work phone:

Cell phone:

Email address:

Demographic Information

This information is used to help us get a better idea of the demographic make-up of our volunteers. If you are volunteering with a group (i.e., congregation, school), please fill in that field.

Group name:

Date of birth:

Age:

Gender:

Jewish/Non-Jewish:

Availability

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

Sun

Mon

Tue

Wed

Thu

Fri

From:

To:

Skills/Interests: Aging Services

Do you have skills you can share with our clients or staff? You don't need to be an expert or have a certain degree... your skills at any level may help us connect you with a volunteer opportunity today or in the future. Please check off any and all areas of interest.
If you have an interest that you don't see listed, just let us know and there may be an opportunity waiting for you.

* Interests/skills: Aging Services:

Other:

Skills/Interests: Vital Support Center

Skills/Interests: General

Emergency Contact

First name:

Last name:

Street 1:

City:

State:

Zip:

Home phone:

Cell phone:

Relationship:

References

Thank you for providing a reference.

First name:

Last name:

Home phone:

Cell phone:

Relationship:

Background Check

A background check is required by the State of Ohio for volunteer work involving home visits, transportation and any other work with individual clients.
Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court? If Yes, describe in full:

Agreement

I understand and agree that submitting this application form does not automatically register me as a Jewish Family Service of Cincinnati volunteer. There may be certain qualifications that must be met, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

I Agree

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