Community Links Volunteer Application

Name:  
Address:  
City:  State:  Zip:  
Phone Number: 
Email: 

Are you affiliated with a synagogue? If yes, which one? 

Volunteer Options (check one): I am able to visit 1 visit per week 2 visits per month for special events.

During your free time what do you like to do? 
(Check all that apply)

Playing ball Playing Piano Reading Walking 
Studying Cards Watching TV 
Other:

Comments:

Thank you for taking the time to fill out this form. You will be contacted shortly by a Community Links coordinator.

For more information or any questions you might have please contact Chanale at office@chabadrc.com or call 786.664.7055.