JFCSNNJ Volunteer Application Form
Name
*
Mr.
Mrs.
Ms.
Dr.
Rabbi
Mx.
Prefix
First Name
Last Name
Email
*
example@example.com
Cell Number
*
Please enter a valid phone number.
Alternative Number
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you lived in another address in the last 5 years that is outside New Jersey?
*
Yes
No
If you answered yes to the above question, please provide that address here
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Gender Identity
*
Female
Male
Prefer not to say
Race
*
Asian
Native American
Black
White
Hispanic
Prefer not to say
Other
Religious Affiliation
*
Jewish
Christian (any denomination)
Muslim (any denomination)
None
Prefer not to say
Other
Are you a veteran of the armed forces?
*
Yes
No
Do you require any accommodations to be made to aid you in the volunteer application process or the day-to-day aspects of your volunteering as the result of a disability or other impairment?
*
Yes
No
Prefer not to say
If you answered yes to the above question, please provide details of those accommodations.
How did you hear about this opportunity?
*
Friend/family member
Another agency/organization
Community awareness
Community event
Heard from/I am a former JFCS client
Heard from/I am a former JFCS volunteer
Heard from/I am a former JFCS staff member
Heard from/I am a current or former JFCS board member
Website
JFCS literature
Magazine/newspaper/other print publication
Synagogue
Other
Please provide more information on the referral source
Emergency Contact
*
First Name
Last Name
Emergency Contact Telephone Number
*
Please enter a valid phone number.
Relationship to Volunteer
*
Do you speak any languages other than English to a level that you would be comfortable conversing with a client in?
*
Yes
No
If you answered yes to the above question please indicate which languages
Spanish
Hebrew
Yiddish
Russian
French
Italian
German
Mandarin Chinese
Polish
Hungarian
Other
Which volunteer roles are you interested in? (check all that apply)
*
Kosher Meals on Wheels Delivery (1-2 hours per week, Mondays and Thursdays only)
Friendly Visitor (1 hour a week, days flexible including weekends in some circumstances)
Telephone Reassurance (15-30 minutes weekly, days flexible including weekends)
ClubEd After School Program Homework & Activity Assistant (1+ hours weekly, weekday afternoons only)
Food Pantry Driver (1-5 regular pickups weekly, mornings and afternoons available)
Food Pantry Stocker (1-2 hours once a week)
Food Pantry Bagger (1-4 hours once a week, weekday afternoons only)
Cooking Companions (2-3 hours once every two weeks, days flexible including weekends in some circumstances)
Event volunteering (hours vary, occasional on an ad hoc basis)
Are there any areas that you would prefer to or prefer not to deliver Kosher Meals on Wheels? Our catchment area includes Bergen County and all of Passaic County except for the towns of Passaic and Clifton. Please note that you would not be asked to deliver to Passaic County if you live in Bergen County and vice versa.
When are you available to volunteer? (check all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Sunday
Morning (9am-12pm)
Afternoon (12pm-4.30pm)
Do you own a vehicle or have access to one that could be used for your volunteering?
*
Yes
No
Do you possess a full and valid New Jersey driver's license, or other driver's license that allows you to drive in the state of New Jersey?
*
Yes
No
Have you ever been charged with, arrested for or convicted of a crime?
*
Yes
No
If you answered yes to the above question, please provide more information. This may affect your ability to volunteer with us.
Have you ever been subject to any professional disciplinary actions, or had a professional license revoked for any reason?
*
Yes
No
If you answered yes to the above question, please provide more information. This may affect your ability to volunteer with us.
Please provide the names and contact information of two personal or professional references that you authorize JFCS to contact. Please note that you MAY NOT use spouses or family members as references.
*
Full Name
Telephone Number
Email
Relationship to volunteer
Referee 1
Referee 2
Submit
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