JFS: Jewish Family Service of St. Paul, Minnesota

Volunteer Application Form

Personal Details

Name*

First Last

Address*

Street/City/State/ZIP

Birthdate*

Email*

Phone*

Professional and Leisure Activities

Occupation*

Employer

Job Responsibilities

This job is:

Full Time
Part Time

Special Interests or Hobbies*

Present or Previous Volunteer Work

Full Time
Part time

Where have/do you volunteer?

What type of volunteer work did/do you do?

Have you volunteered at JFS before?*

Yes
No

Additional Notes

What 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
Ongoing

Check 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 preference

If you wish to work directly with clients, please indicate your preference.

Non-smoker
Willing to work with a smoker
No preference

Your 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
No

Are you willing to drive a client?*

Yes
No

If 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
No

Have you had any speeding tickets or other moving violations in the past five years?

Yes
No

If 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 agree

In 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.

References

Reference 1*

Name	Organization	Position	Address	Email

Reference 2*

Name	Organization	Position	Address	Email

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*

Name	Relationship	Phone 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

Phone

This field is for validation purposes and should be left unchanged.

Volunteer Form

Volunteer

Volunteer Application Form

Personal Details

Professional and Leisure Activities

Additional Notes

References