Volunteer Volunteer Application FormPersonal DetailsName* First Last Address*Street/City/State/ZIPBirthdate*Email* Phone*Professional and Leisure ActivitiesOccupation*EmployerJob ResponsibilitiesThis job is: Full Time Part TimeSpecial Interests or Hobbies*Present or Previous Volunteer Work Full Time Part timeWhere have/do you volunteer?What type of volunteer work did/do you do?Have you volunteered at JFS before?* Yes NoAdditional NotesWhat type of volunteer work interests you?* Skill focused (share your knowledge/talent with a client.) Social/Cultural experiences (share something you love that will enrich the life of a client.) Para-chaplaincy (help Jews and their families reconnect with their spirituality through visits.) Outreach Companion Career Services Mentoring Short term, service learning One time event OngoingCheck as many boxes as you'd like.Briefly describe your volunteer interests in the previous question.If you are Jewish, tell us about your temple affiliation and/or other Jewish organization involvement.Who do you prefer to work with? Older adults Job seekers If you wish to work directly with clients, please indicate your preference. Male Female No preferenceIf you wish to work directly with clients, please indicate your preference. Non-smoker Willing to work with a smoker No preferenceYour primary language.*Other languages in which you are proficient.List the days and times you are available to work.*Are you willing to be called "as needed?"* Yes NoAre you willing to drive a client?* Yes NoIf you are willing to drive a client, please provide the make and model of your vehicle.If you are willing to drive a client, please list your auto insurance provider.Have you had any accidents in the last five years? Yes NoHave you had any speeding tickets or other moving violations in the past five years? Yes NoIf you have had any accident or tickets, please explain.If required, volunteer will be asked to verify the following statement with their signature during an in-person visit to the JFS office.* Agree Do not agreeIn making this application to be a volunteer, I agree that if my services involve transporting any person, I will maintain liability and no fault insurance upon my vehicle pursuant to the statutory requirements of the State of Minnesota. I further understand that Jewish Family Service of St. Paul provides no auto insurance coverage for volunteers and does not agree to indemnify me for any legal liability arising out of my transporting any person as a volunteer.ReferencesReference 1*NameOrganizationPositionAddressEmail Reference 2*NameOrganizationPositionAddressEmail Please note that all volunteers who come into direct contact with clients must submit to a confidential background check through Sterling Volunteers.* I agree to submit to a background check if required.Emergency contact*NameRelationshipPhone number How did you learn about our volunteer program?* Friend in the program JFS staff or board member JFS website JFS Newsletter JFS Flyer Synagogue or other agency Volunteer Match CommentsThis field is for validation purposes and should be left unchanged.