Teen Volunteer Sign Up Form

Having trouble signing up? Finding the right program? Need more information? Or just want to chat?
Contact Jared Pashko, Friendship Circle Outreach Coordinator at outreach @phillyfriendship.com

volunteer sign up.jpg

Volunteer Information

First Name:

Last Name:

Date of Birth (m/d/yyyy):

Volunteer Address:

City/State/Zip:

Home Phone Number:

Cell Phone:

Email Address:

School Attending:

High School Graduation Year:

Current Grade(2016-2017):

Synagogue/Community Affiliation (If applicable)
Emergency Contact Information:
Name:
Relationship to Volunteer:

Phone Number:

Allergies (Please Specify):

Additional Information

Parent One Name:

Parent One Email Address:

Parent One Cell Phone:

Parent One Address (if different from volunteer):

Parent Two Name:

Parent Two Email Address:

Parent Two Cell Phone:

Parent Two Address (if different from volunteer):

Marital Status of Parents/Guardians:

References (for NEW volunteers ONLY)
*If returning volunteer, please indicate "old" in fields
Reference One: Teacher/Educator

First Name:

Last Name:

Phone Number:

Relationship to Volunteer:

Reference Two: Family Friend
(not a relative )

First Name:

Last Name:

Phone Number:

Relationship to Volunteer

Volunteer Programs:
I am interested in volunteering at the following events:

Volunteer Events Sunday CircleFriends at Home Teen & Young Adult Division Events Volunteer Sensitivity WorkshopsMitzvah Volunteer Program (6th and 7th graders) Trips and other events

Photo Consent:

 Do you permit your photos to be used for publicity purposes? (yes/no)

Background Check Consent (for volunteers 18 years and older):

The Friendship Circle is now required to run a background check on all volunteers age 18 years and older. This is a new procedure for us and a departure from our casual, inclusive style, but we recognize it as a reality of doing business. A simple online screening using SafeGuard Certify will ensure the safety of all participants in our programs. Rest assured that your privacy will be protected and all personal information will be kept strictly confidential.

Please sign below indicating your permission for The Friendship Circle to proceed. Thank you for your cooperation. Please know, that if you are over the age of 18, we will be in touch with you for more information.

Name:

Date:

Parental Consent (must be checked by legal guardian)

How did you hear about us?

I have reviewed this form and agree to my teen participating in The Friendship Circle.

I hereby give permission to the staff of The Friendship Circle to obtain necessary emergency medical treatment for my child with the understanding that the family will be notified as soon as possible.

(Yes or No)