Cummings Jewish Centre For Seniors

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Thank you for your interest in volunteering at the Cummings Jewish Centre for Seniors. Please fill out our Volunteer Information Form and click on submit at the bottom of the page.

The Volunteer Department staff like to meet with prospective volunteers in person and will contact you for an interview appointment. Individuals applying for volunteer involvement will have the opportunity to learn about the Agency, its mission and available volunteer positions. When determining suitable volunteer placements, we give equal attention to the interests and goals of each prospective volunteer as well as the needs and requirements of the Agency.

Membership No.

Name:

Street Number:

Street Name:

City:

Home Phone:

(eg. 514-000-0000)

Work Phone:

(eg. 514-000-0000)

Car?:

YesNo

Date of Birth:

(eg. MM/DD/YYYY)

Email:

Status:

Employed
Retired
Looking for work

Education:

Languages:

Previous Volunteer Experience:

Previous Work Experience:

Physical Limitations:

YesNo

If Yes, please explain:

Reasons for choosing to volunteer at CJCS:

Areas of Interest/Skills

Administration:

Judaica:

Animation:

Music:

Artistic Skills:

Organizational Skills:

Community Work:

Photography:

Computer Skills:

Programming Planning:

Driving:

Social Issues:

Fitness/Sports:

Teaching:

Fund Raising:

Telephone:

Graphic Design:

Visting Seniors:

Health:

Writing:

Other:

Vacation:

Jan.		Feb.
Mar.		Apr.
May		Jun.
Jul.		Aug.
Sep.		Oct.
Nov.		Dec.

Availability:

Day & Time Flexible:
YesNo

	Mon	Tue	Wed	Thur	Fri	Sun
Morning
Afternoon

References: Please provide the names of two people not related to you but who have known you for at least two years

Name:

Relationship:

Telephone1:

(eg. 514-000-0000)

Telephone2:

(eg. 514-000-0000)

Name:

Relationship:

Telephone1

(eg. 514-000-0000)

Telephone2:

(eg. 514-000-0000)

CONFIDENTIALITY FORM I agree to respect the confidential nature of all cases, personal contacts, related documents, files, financial and any other information I may come into contact within the course of my volunteer involvement with the Cummings Jewish Centre for Seniors.

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