VOLUNTEER SIGN UP FORM

VOLUNTEER INFORMATION
Last Name   Address
First Name   City/State
Hebrew Name   Zip
Birthday         Home Phone
School   Cell Phone
Grade   Email
         
FAMILY INFORMATION
Parent's Name   Parent's Cell
         
VOLUNTEER PREFERENCES
When would you like to volunteer at the home of a child with special needs?
First Choice   Time:
Second Choice   Time:
Do you have a friend with whome you'd like to volunteer? YES NO
Friend's name   Phone #:
Are your parents available to drive you TO or FROM the child's home? YES NO
         
REFERENCES
List one reference who is not a relative: Name
Relationship   Phone
         
COMMENTS