Volunteer Application 23-24

Volunteer Name

First

Last

Phone

Email

Birth Date

Grade level (2023-2024)

School

This is my ___ year volunteering with Friendship Circle.

ALL 1st (new) year volunteers are REQUIRED to submit 2 letters of reference.

If affiliated with a synagogue, please write the name of synagogue

If affiliated with any school clubs/ teams (sports, honor society, etc) please write the names

If your Bar/Bat Mitzvah is this year, what is the date?

Are you affiliated with a Jewish Youth group? If so, which one?

Do you speak Spanish?

Primary Parent/Guardian 1

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Relationship to Volunteer

Primary Parent/Guardian 1 Email

Primary Parent/Guardian Cell Number

Primary Parent/Guardian 1 Occupation

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parent/Guardian 2

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Parent/Guardian 2 Relationship to Volunteer

Parent/Guardian 2 Email

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Occupation

Parent/Guardian 2 Address, if different

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

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Which parents do you live with?

How did you hear about our program? If it was an other volunteer please write his/her name

Please upload a recent picture of yourself. Keep in mind this will be in the newspaper.

Click or drag a file to this area to upload.

Program Selection: Please note that programs are based on availability. We will try to accommodate you to one of your preferred choices of programs.

Please indicate which programs you would like to volunteer for. You can participate in more than one!

If you are a returning volunteer let us know who were you paired with last year (it can be more than one friend)

Medical Information

Please have a parent/guardian assist you in completing this section.

Any food allergies?

Reactions to medications?

Any medical circumstances?

Any Current medications?

Emergency Contact 1

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Emergency Contact 1 Cell Phone

Relationship to Volunteer

Emergency Conact 2

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Emergency Contact 2 Cell Phone

Relationship to Voluneer

By typing my name below, I understand that the Friendship Circle of Miami, Inc, including without limitation, any of its directors, teachers, employees, or agents, and including any volunteer, shall not be liable to any party for injury or damage, whether from acts of negligence or otherwise, in any way attributable to or in connection with such activities or field trips.

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Name of Parent/Guardian

Name of Volunteer

I permit my child's photos - without any identifying information - to be used for publicity purposes by The Friendship Circle and its partners, as it relates to Friendship Circle activities.

Yes
No

I give permission for my child(ren) to participate in off-site field trips as scheduled. You will be advised of such field trips in advance.

Yes
No

The Friendship Circle provides very special and unique opportunities for volunteers, special friends, and both sets of families to enrich the lives of each other. In doing so, some participants may encounter new and sometimes challenging situations. Thus, it is imperative to set expectations in the beginning so that volunteers, special friends, and parents understand what they can expect. Please take a moment to read over and check the boxes below each guideline that establishes safety and promotes friendship based on mutual respect and personal well-being for everyone involved in our program. You/your child may not be involved in a specific program referenced; however you may be involved at some point during the year so please acknowledge by checking every statement.

I understand that participation in this program is entirely voluntary and requires participants to abide by applicable rules and standards of conduct, to use their best judgment and sense of responsibility when volunteering in all program and events, and to serve as a role model to our special friends and other volunteers.

Parent and Volunteer

I understand that, if I choose to give out personal phone number or social media to a participant, Friendship Circle is NOT responsible for communication outside of Friendship Circle.

Parent and Volunteer

I understand that, as a result of being a Friendship Circle volunteer, I will be building bonds with special friends who will be counting on me to be present consistently. VOLUNTEER ATTENDANCE MUST BE A PRIORITY.

Parent and Volunteer

I understand that as a volunteer with this program, the use of a phone or other electronic devices during programs does not promote healthy friendships. A cell phone should only be used in case of emergency.

Parent and Volunteer

I understand that participation in Friendship Circle activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I may be exposed to biting, hitting, and scratching. I agree to take on this responsibility.

Parent and Volunteer

I agree not to bring any alcohol, drugs, tobacco products, vaping devices, weapons, firearms, posses any illegal substances or other dangerous items to any Friendship Circle program or events.

Parent and Volunteer

I agree to respect the privacy of all participants of the Friendship Circle and to keep all personal information confidential.

Parent and Volunteer

In the event that I am unable to volunteer during my scheduled time, I will contact the FC Coordinator AT LEAST 48 HOURS in advance, barring illness or family emergency. In the case of the Friends @ Home program, I will try to find another day to substitute, and I will notify the parents of my special friend AT LEAST 24 HOURS in advance.

Parent and Volunteer

I agree to dress appropriately: no tank tops, no ripped jeans, shorts MUST be fingertip length on thigh, and wear sneakers.

Parent and Volunteer

I agree to represent the Friendship Circle of Miami to the best of my abilities.

Parent and Volunteer

Please have your parent or guardian click here to fill out the release form for a volunteer under the age of 18.

Upload the release form SIGNED by a parent or guardian

Click or drag a file to this area to upload.

Program Selection: Please note that programs are based on availability. We will try to accommodate you to one of your preferred choices of programs.

Medical Information

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