If you would like to chat about VOLUNTEERING with Friendship Circle, call Chana Mushka at 203.887.4876.

PLEASE FILL OUT THIS FORM TO THE BEST OF YOUR ABILITY. YOU WILL BE CONTACTED SOON AFTER SUBMISSION.

VOLUNTEER REGISTRATION FORM

Volunteer Information
First Name Last Name
Date of Birth(MM/DD/YEAR) Street Address
City State
Zip Home Phone
Cell Phone Email
School Grade (Year of)
Temple affiliation  
 
Parents Information

Mother's Full Name

Mother's Cell

Mother's Email

Occupation (optional)

Father's Full Name

Father's Cell

Father's Email

Occupation (optional)

     
Programs

I would like to volunteer for the Friends at Home Program (see handbook for details)

I would like to Volunteer at the Friendship Circle Hebrew School, Sunday mornings

 
Do you have a friend with whom you would like to volunteer? Yes No
Friend's Name Friend's Email Address
 
References
Please list one or two references. [Teacher, Director of another kids program or Family Friend where you babysat etc.]
#1 First and Last Name Phone Number
#2 First and Last Name Phone Number
 
Parental Consent, Permissions & Volunteer Commitment and Handbook

If you are under 18 please have a parent or guardian initial the box below.

 I give my child permission to volunteer for the Friendship Circle of the West Side

Attached is the volunteer handbook. Please read it carefully and initial the box below.
 
 
 I carefully read the Volunteer Handbook and agree to follow the rules stated within.
 
In order to provide the best volunteer experience for the volunteer as well as the child with special needs, we require that all volunteers attend a session of learning and instruction given by professional therapists and experienced instructors. We will arrange for times and places that work for multiple volunteers or arrange for private instruction sometime before you begin to visit your child. 
 
The Friendship Circle sometimes takes photos of events and uses them - without names - for publicity.
By checking this box, you agree to allow the Friendship Circle to use your (child's) picture.

 
 

Thank you for applying to be a Friendship Circle volunteer!
Please submit this form and we will contact you as soon as possible.

PLEASE NOTE: All volunteers must meet in person with our Friends at Home coordinator.
Upon submission of this form you will be contacted to set up a meeting.
We look forward to meeting you.
This does not apply to return volunteers.

For more information please contact Tova at Tova@FriendshipCircleWS.org, or call (858) 945-1804.