Jacobs' Ladder Volunteer Application

Volunteer Type:

I am an individual volunteer. This application is for myself only.

I would like to volunteer with one or more individuals:

Number of volunteers (including you)

Name of Group/Congregation/Organization (if applicable)

Group leaders: After submitting this form, you will need to e-mail us the contact information for all of your volunteers. We have provided an excel sheet for you to complete with contact information for each member of your group, which you can download here. Please send this information ASAP to jacobsladdervolunteers@urj.org. Your group cannot be accepted until we receive this information.

Contact Information (if you are applying as a group - this should be the group leader's contact info)

First Name*

Last Name*

Age*

E-mail Address*

Address*

City*

State*

Zip Code*

Daytime Phone*

Evening Phone*

Cell Phone

URJ Congregation
(if applicable)

Availability

Sunday-Sunday shifts are preferred. If you would like us to consider an exception, please provide detailed information in the additional comments field.

First Choice*

Second Choice*

Please tell us more about yourself

How did you hear about Jacobs' Ladder?

Please tell us why you want to volunteer for Jacobs' Ladder?

Additional Information

Please include any notes or additional information: