DEMOGRAPHICS

I am applying for a volunteer assignment at Jewish Family and Children’s Service of Southern New Jersey (JFCS). Permission is hereby given to JFCS to contact the references named above. By providing my driver’s license number below I hereby authorize Samost Jewish Family and Children’s Service to obtain a Motor Vehicle Report on my driving history now and annually thereafter if I am driving clients as part of my volunteer work. I consent without any undue influence or duress.
*If you are a minor and not driving yet, please enter "N/A - minor".

I have answered the questions above truthfully and will answer all further questions truthfully and to the best of my ability. I understand that, if I give false information to JFCS, I will not be accepted (nor be allowed to continue) as a volunteer.

I further understand that as a volunteer, I must:

1. Maintain full client confidentiality

2. Fulfill the responsibilities and comply with guidelines of the volunteer position as specified by the Director of Volunteers

3. Work in ongoing consultation with agency staff

4. Report activity on a consistent basis.

I understand that this application is not a guarantee of placement.