Become a Volunteer - FCPalisades.com

VOLUNTEER INFORMATION

Full Name*

First Name Last Name

Hebrew Name*

Gender*

MaleFemale

Date of Birth*

Month Day Year

Cell Number*

Area Code Phone Number

E-mail*

Home Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

School & Grade*

School Grade

PARENT INFORMATION

Father Name*

First Name Last Name

Father Cell*

Area Code Phone Number

Father E-mail*

Is your father Jewish?*

Yes, by birthYes, by choiceNo

Mother Name*

First Name Last Name

Mother Cell*

Area Code Phone Number

Mother E-mail*

Is your mother Jewish?*

Yes, by birthYes, by choiceNo

Parent Marital Status*

MarriedDivorcedSingleWidowed

ADDITIONAL INFORMATION

Please select the programs you would be intrested in volunteering for*

Friends @ HomeSunday CircleSeasonal Volunteer OpportunitiesRun4Friends on July 4th

Have you volunteered before? Where?*

Why would you like to join the Friendship Circle?*

How did you hear about us?*

FRIENDS @ HOME PREFRENCES

Day of the week:* check all that apply

Time of day:*

Notes:

Do you have a friend you'd like to volunteer with? *

YesNo

Name of Friend

First Name Last Name

Cell Number of Friend

Area Code Phone Number

PERSONAL REFRENCES

Reference #1*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship to reference*

Reference #2*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship to reference*

PARENTAL CONSENT

I give my child permission to volunteer with the Friendship Circle*

YesNo

I permit my child's photos to be used for publicity purposes*

YesNo

I agree to volunteer for Friendship Circle. I understand that participation in Friendship Circle activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and agree to participate in this activity. I also understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct as set forth in the Friendship Circle Handbook, as it may be modified from time to time. I understand that this local Friendship Circle is independently owned, operated, and controlled. I release the Friendship Circle and its employees, directors, officers, and volunteers as well as its affiliates and all other organizations associated with Friendship Circle from any and all claims or liability arising out of this participation.

Today's Date*

Month Day Year

Volunteer Signature*

Parent Signature*

Teen Volunteer Sign-up Form