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Holocaust Center Volunteer Application
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1.
Full Name
(Required.)
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2.
Street Address:
(Required.)
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3.
City:
(Required.)
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4.
State:
(Required.)
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5.
Zip code:
(Required.)
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6.
Home phone:
(Required.)
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7.
Cell phone:
(Required.)
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8.
Email:
(Required.)
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9.
Date of birth:
(Required.)
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10.
Gender:
(Required.)
Male
Female
Other (please specify)
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11.
What is the highest level of education you have completed?
(Required.)
Graduated from high school
College (2 years)
College (4 years)
Masters Degree
Doctorate
Professional Degree
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12.
Work status:
(Required.)
Work full-time
Work part-time
Student
Retired
Full-time parent/homemaker
Not employed
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13.
Occupation:
(Required.)
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14.
Name of employer or school:
(Required.)
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15.
Have you ever been convicted of a felony?
(Required.)
Yes
No
16.
If you have been convicted of a felony, please describe:
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17.
Please describe your previous volunteer experience:
(Required.)
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18.
Languages spoken:
(Required.)
English
Russian
Spanish
Hebrew
Yiddish
French
German
Polish
American Sign Language
Other (please specify)
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19.
Other skills, interests, or hobbies:
(Required.)
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20.
Community affiliations (synagogue, church, or organization):
(Required.)
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21.
Have you previously applied to JFCS to be a volunteer:
(Required.)
Yes
No
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22.
How long of a commitment can you make:
(Required.)
6 months
1 year
1 year-plus
Short-term projects
One-time special projects
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23.
Are you willing to transport members of the Speakers Bureau to speaking events?
(Required.)
Yes
No
Other (please specify)
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24.
Do you have a car?
(Required.)
Yes
No
Further comments
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25.
Please check the times you are available to volunteer:
(Required.)
Monday
Tuesday
Wednesday
Thursday
Friday
Sunday
Mornings
Monday
Tuesday
Wednesday
Thursday
Friday
Sunday
Afternoons
Monday
Tuesday
Wednesday
Thursday
Friday
Sunday
Evenings
Monday
Tuesday
Wednesday
Thursday
Friday
Sunday
Other (please specify)
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26.
Why do you want to volunteer at the JFCS Holocaust Center?
(Required.)
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27.
What volunteer opportunities are of most interest to you?
(Required.)
Driving Holocaust survivors to speaking engagements
Serving as a companion to Holocaust survivors at speaking engagements
Library and archives
Oral Histories
Special event help
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28.
How did you hear about volunteering at JFCS?
(Required.)
J Weekly
Synagogue Bulletin
JFCS Mailing
Word of Mouth
Newspaper
JFCS Website
Internet
Other (please specify)
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29.
Is there any medical or disability related issue that would affect your ability to perform the job?
(Required.)
Yes
No
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30.
Have you been exposed to any communicable diseases in the past 6 months?
(Required.)
Yes
No
