Wufoo

Name *
Phone Number * ### - ### - ####
Email *
Kehilla Member?
Yes No
If no, how did you hear about this volunteer opportunity?
1. Please mark all ways of helping that might interest you; more details will be provided as we know more about our guests and their needs.
Providing meals/ prepared foods Errands, such as grocery shopping (funds can be provided if needed) Doing laundry (at your home or other location) Driving to appointments or to help visitors get to and from Kehilla Overnight host (spending the night at Kehilla when guests are here), probably from about 9pm – 9am Visiting and company / Entertainment Help with visiting children Miscellaneous tasks, such as cleaning up On-call for medical or mental health advice (see also special skills below) Help with moving heavy furniture Offering tutoring or classes / teaching ESL Wherever needed Painting / construction / furniture assembly Other (fill out below) Not sure, but please keep me on contact list
If you chose 'other,' please elaborate here:
Special skills:
No special skills are needed to volunteer but let us know if any of these apply to you.
Language skills: Which language(s)? Medical expertise: What type of training do you have? (MD, Nurse, EMT etc) Social worker or mental health provider: Child care: Teaching/ Education: Have truck or large van that can be used for moving donated furniture Other (fill out below)
Please provide information about Special Skills noted above
Do Not Fill This Out

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