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ValleyFriendshipCircle.com » Volunteers » Volunteer Application

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VOLUNTEER APPLICATION ( * designates required fields)

FIRST NAME *: LAST NAME *:
GENDER: MALE FEMALE AGE:
DATE OF BIRTH *: SCHOOL:
ADDRESS *: CITY *:
STATE: ZIP CODE:
HOME PHONE *: CELL PHONE *:
E-MAIL ADDRESS *: YES, I recieve text messages. ** Please provide a current-working email, as we send out event invitations and information primarily through email

PARENTS' INFORMATION

FATHER'S NAME: MOTHER'S NAME:
FATHER'S MOBILE: MOTHER'S MOBILE:
FATHER'S E-MAIL: MOTHER'S E-MAIL:

PROGRAMS OF INTEREST (You can check as many as you'd like):

FRIENDS AT HOME
You and a partner create a special bond with a kid by visiting them once a week for an hour or two at their home home or arranged location.
SUNDAY CIRCLE
First Sunday of every month. Play, laugh and interact with the kids, ages 2-7, under organized activities. Meets in Studio City.
HOLIDAY PROGRAMS
Celebrate major holidays with the Valley Friendship Circle families
SYMPHONY CIRCLE- MUSICAL HEBREW SCHOOL
A monthly program that teaches Judaic content through song, interactive musical activity and crafts as well as a variety of musical instruments. Ages 6-16.
GIRLS SUMMER CIRCLE
Female volunteers. One week in the summer, volunteers will be paired one on one with a girl with special needs and participate together organized summer activities, arts and crafts and local trips.

Come to Events, Receive Credit! Go to Volunteers Section to Learn More

1) When would you like to volunteer at a special needs child's home?

FIRST CHOICE: SECOND CHOICE:

2) Do you have a friend that you would like to volunteer with? (For those who checked box "FRIENDS AT HOME")

NAME: PHONE: EMAIL:

3) Reference:

NAME: RELATIONSHIP: PHONE:

4) Have you been to a VFC program? YES NO

If YES, which one?

5) How'd you hear about the VALLEY FRIENDSHIP CIRCLE?

6) Do you have any special talents you can share in our events? Do you play an instument?

QUESTIONS OR COMMENTS:

As a volunteer of the Valley Friendship Circle:

1) I will treat others with honor and respect because we are all created in the image of G-d.

2) I agree to keep all personal information related to VFC families and volunteers confidential.
3) I will never go to a Friends@Home visit without my partner.
4) I will never go with the child without their parent or gaurdian present.
5) I agree to act responsibly when spending time with the child I am matched with.

6) I will only use my cell phone in case of emergency during Friends@Home visits.

7) I understand that it is my responsibility to immediately report to a VFC Staff if someone gets hurt while I am volunteering.
8) If I am not able to volunteer during my scheduled visit, I will notify the parents of my special friend at least 48 hours in advance.
9) I understand that once I commit to attend an event, the Valley Friendship Circle staff and special friends are relying on me to be there. I agree to attend and give it my best effort. If I cannot attend, I agree to notify a VFC staff, at least 48 hours in advance.
10) I understand that I can turn to any VFC staff with any questions or concerns about my Friends@Home visits.
11) I agree to represent the Valley Friendship Circle to the best of my abilities.
12) I agree to volunteer for Valley Friendship Circle. I grant VFC permission to use my name, image, likeness, or recording in connection with any promotional materials including, but not limited to, brochures, advertising, and broadcasts. I understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct as set forth in the above, as it may be modified from time to time.
13) I release the VFC and its employees, directors, officers and volunteers as well as all other organizations associated with VFC from any and all claims or liability arising out of this participation.


Volunteer’s Signature: Date:

** If under 18
PARENTAL CONSENT

I give my child permission to volunteer in the Valley Friendship Circle.

Date

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