Adult Volunteer Registration Form

Name:

Occupation:

Gender: Female Male

Congregation (if applicable):

Birthday:

Cell Phone Number: Home Number:

Address: City: Zip:

Email address:

Best way to contact me is: Cell Phone Number Email Text Message Facebook (if applicable, what is your Facebook name? )

Medical Information:

Allergies:

Additional information:

In case of an emergency please contact: Relationship:

Home Phone Number: Cell Phone:

FC Programs:

Please indicate which of these programs you are interested in volunteering for.

FC Adults- A new and exciting program where once a month adults with special needs will experience an evening of social skill building, games, fun activities, Judaic learning and much more.

Volunteering will be in a group setting and may include assisting the adults with the activities or tasks at hand, making it a fun experience and simply being a friend.

Sunday Circle/ Teen Scene- Biweekly program on Sunday between 3:30 - 5:00pm where through the use of innovative and creative programs the children are paired together with teenage volunteers and in a fun filled atmosphere, they explore different themes which help them develop many important skills.

Volunteering may include being in charge of a particular station/ activity for that day and helping to set and clean up.

Holiday Programs & Family Events- A festive program where children with special needs and their families celebrate the Jewish Holidays together in a fun, joyous and warm atmosphere.

Volunteering may include being in charge of a particular activity, setting and cleaning up and helping with our annual Chanukah Toy Drive.

IWalk4Friendship- Our annual fundraiser where the community joins together and participates in a 3k walk and family fun day, to raise both awareness and money for the Friendship Circle and the programs they provide for individuals with special needs.

Volunteering will include raising awareness for the walk, helping to set and clean up, and assisting with our volunteer shifts on the day of the walk.

References:

Please provide at least two references.

Name:

Reference contact number:

Relationship to volunteer:

Name:

Reference contact number:

Relationship to volunteer:

Upon receiving your registration form a member from the Friendship Circle will contact you.

Thank you for helping make a difference in a special life and welcome to the Friendship Circle!!