Volunteer Legal Name First Last Chosen name/nickname Pronouns Gender Identity Current AgeDate of birth MM slash DD slash YYYY SSNAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Secondary PhonePhoneEmail Have you ever been convicted of a crime?NoYesPlease explainDo you have any previous volunteer experience?Emergency Contact Name First Last Emergency Contact PhoneWhat languages do you speak? What languages do you read/write? Do you have any physical or cognitive limitations?NoYesPlease explainDo you have any food allergies/restrictions?NoYesPlease explainVolunteer Areas Wellness Children + Youth/Camp + Teens (K-12) Early Childhood Education (Infant-Pre K) Elder Adults Member Relations/Rentals Inclusion Racquet Sports Disability Program Services Jewish Life + Learning/Arts + Culture Marketing Select AllCurrent work Status?StudentPart Time EmployedFull Time EmployedRetiredDisabledOther, please specifyPlease specify Current School or Employer if applicable? What is your current or what was your employment/professional field? Why do you want to volunteer with the Tucson J?What special skills, talents or interests do you have?How often are you interested in volunteering?Total HoursWeeklyDailyAre there particular days of the week that you are available? Time of day you are available? Anything else you would like to share regarding volunteering here at the J?How did you hear about the J Ambassador program?There is a $8 processing fee to run your background check to verify eligibility as a volunteer for all volunteers ages 18+.PLEASE READ CAREFULLY AND SIGNI affirm that the information contained in this application is true to the best of my knowledge and understand that any statement herein may be verified without causing liability to the Jewish Community Center or the person supplying the information. I give the Jewish Community Center my permission to verify any information in this application, including my work history, references, general character, and I understand my role as a volunteer will be contingent upon the Center obtaining satisfactory information from the above sources. I consent to having the Tucson J run my background check and charging me the $8 fee. I understand that misrepresentation of the facts or false statements in this application will be cause for the application to no longer be considered, or for my immediate discharge if I am already set up in a volunteer capacity. I agree to the privacy policy.Signature Date MM slash DD slash YYYY
