Kesher Volunteer Questionnaire
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1. Default Section
*
1
. Please fill in the following information
Please fill in the following information
Name:
Address:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Email Address:
Phone Number:
2
. Other Members of Household:
Other Members of Household:
Adults:
Children: (Please include ages)
3
. If you've volunteered for LSS in the past, first of all, thank you. Please list all your volunteer activities.
If you've volunteered for LSS in the past, first of all, thank you. Please list all your volunteer activities.
4
. If you're willing to Volunteer for LSS, please check all activities you'd be interested in:
If you're willing to Volunteer for LSS, please check all activities you'd be interested in:
Chesed (Shiva, Bikkur Cholim, Elderly Assistance...)
Communications/Publicity (Echod, Light, Special Events...)
Event Planning (Dinners, Theater Parties, Book Club...)
Fundraising (Dinner Journal, Yom Kippur...)
Hospitality (Shabbat, Holidays, New Mothers, Homebound...)
Israel (Adopt an IDF Unit, Israel Action...)
Membership Outreach (New Members, Current Membership...)
Programming (Singles, Seniors, Youth, Gesher, Beginners...)
Shabbat/Holidays (Greeters, Ushers, Kiddush...)
Shul Operations (Buildings, Security, Office/Mailings...)
Other (please specify)
5
. Would you be prepared to make phone calls on behalf of LSS?
Would you be prepared to make phone calls on behalf of LSS?
Yes
No
6
. Do you have a car and would you be willing to drive it for LSS Activities (e.g. clothing drive, bread funnel...)?
Do you have a car and would you be willing to drive it for LSS Activities (e.g. clothing drive, bread funnel...)?
Yes
No
7
. Please list any suggestions or ideas you might have for new volunteer initiatives for LSS?
Please list any suggestions or ideas you might have for new volunteer initiatives for LSS?
8
. Would you be willing to volunteer in working on this new initiative?
Would you be willing to volunteer in working on this new initiative?
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