Volunteer Application

Volunteer's Name*

First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*
Father's Name*

First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*
Mother's Name*

First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Gender*

Male Female
Birth Date

Month Day Year
School*
Cell Number*

Area Code Phone Number
YES, I recieve text messages
Come to Events, Receive Credit! Go to Volunteers Section to Learn More
Programs of Interest*

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 TWEEN MUSIC CIRCLE SYMPHONY CIRCLE- 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.
What day would you like to volunteer for Friends@Home? First Choice
Time First Choice
What day would you like to volunteer for Friends@Home? Second Choice
Time Second Choice
Have you been to a VFC program?

Yes No
Which Program?
How did you hear about Valley Friendship Circle?
Do you have a friend that you would like to volunteer with?
Yes No
Friend Full Name*

First Name Last Name
Friend Father's E-mail*
Friend Father's Cell Number*

Area Code Phone Number
Reference
Reference Full Name

First Name Last Name
Reference E-mail
Reference Cell Number*

Area Code Phone Number
Consent
As a volunteer of the Valley Friendship Circle:

I will treat others with honor and respect because we are all created in the image of G‑d. I agree to keep all personal information related to VFC families and volunteers confidential. I will never go to a Friends@Home visit without my partner. I will never go with the child without their parent or gaurdian present. I agree to act responsibly when spending time with the child I am matched with. I will only use my cell phone in case of emergency during Friends@Home visits. I understand that it is my responsibility to immediately report to a VFC Staff if someone gets hurt while I am volunteering. 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. 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. I understand that I can turn to any VFC staff with any questions or concerns about my Friends@Home visits. I agree to represent the Valley Friendship Circle to the best of my abilities. 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. 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 Signature
Father's Signature
Mother's Signature
Date

Month Day Year
Should be Empty:

Do you have a friend that you would like to volunteer with?

Reference

Consent

Friends @ Home

Volunteer Club

Virtual Friendship Fun

Parent Support Circle

MIND BODY & SOUL

Social Circle