Karsh Center Special Projects Volunteers: COVID-19 Community Relief

Karsh Center Special Volunteer Projects: COVID-19 Community Relief Volunteers

Thank you very much for your interest in supporting the Karsh Center's efforts to feed and care for our neighbors during this time. To best keep our very vulnerable client population as well as our volunteers safe, each individual interested in volunteering must fill out the form below. Our volunteer activities at this time are limited, so as to keep contact among individuals as low as possible. If you would like to help as a family unit, couple, or with a friend, this form must still be completed for each individual. This application has four sections: 1) basic profile and contact information, 2) health and wellness verification, 3) volunteer interests and capacity, 4) Karsh Center volunteer agreement and waiver. After you submit this form, our team will be in touch about next steps as volunteers are needed. Thank you for your patience, and desire to serve our neighbors during this time of great need. If you have any questions, please reach out to volunteers@karshcenter.org.
Name *

First Name Last Name
E-mail *
Birthdate *

Month Day Year
Date
Cell phone number *

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Emergency Contact Name *

First Name Last Name
Emergency Contact Phone Number *

Area Code Phone Number
Have you volunteered with the Karsh Center before? *

Yes No
Are you a Wilshire Boulevard Temple member? *

Yes No
How did you learn about the Karsh Center? *

Karsh Center Volunteer Agreement & Waiver

Please review the Karsh Center's waiver, linked below and required of all individuals who volunteer with Karsh Center programs and services. E-signature must be provided by the individual volunteer. For volunteers younger than 18 years old, parent or legal guardian must e-sign on their behalf.
Date *

Month Day Year
Date
Name of individual signing waiver (for anyone under 18 years old, this should be a parent or legal guardian. 18 and older this should be the name of the applicant themself) *

First Name Last Name
Volunteer Agreement & Waiver Signature (use mouse/cursor to write out signature) *

Clear
Karsh Center Volunteer Photo Release

Please review the Karsh Center's photo release, linked below. E-signature should be completed by the individual applicant, except for volunteers younger than 18 years old, for whom parent or legal guardian must e-sign on their behalf.
Date *

Month Day Year
Date
Name of individual signing photo and video release form (for anyone under 18 years old, this should be a parent or legal guardian. 18 and older this should be the name of the applicant themself) *

First Name Last Name
Photograph & Video Release Signature (use mouse/cursor to write out signature) *

Clear
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm

Karsh Center Special Volunteer Projects: COVID-19 Community Relief Volunteers

Volunteer Health & Wellness Verification

Volunteer Interest & Capacity

Karsh Center Volunteer Agreement & Waiver

Karsh Center Volunteer Photo Release