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Do you have a few hours to make a difference in the life of a child?

Volunteers are the heart and soul of Chai Lifeline. The hours they devote can change the experience of illness for a family.

We invite you to volunteer in any of the following areas:

Camp Simcha/Camp Simcha Special

Be part of the "best place on earth" for seriously ill children and teens.

Big Brothers/Big Sisters

Make a new friend for life. With their visits and personal contacts, Big Brothers and Sisters add stability and structure to lives upended by illness.

Chai Volunteers

  1. Visit hospitalized children (requires completed medical form).
  2. Visit recuperating children and their siblings in their home.
  3. Work on toy drives and organize and deliver holiday gift packages.
  4. Prepare and/or deliver nutritious meals to hospitalized or recuperating children and their families.
  5. Provide translation services during medical appointments.
  6. Drive children and parents to medical appointments (requires completed transportation volunteer form).

Tutors

Share your Judaic knowledge with hospitalized or recuperating children. Tutors coordinate work with children's teachers and schools.

We need to verify your age first.

Are you under 25?:

* indicates a required field

Title: First Name:* Last Name:* E-mail:* Phone:* Cell:
Address:* City:* Province:* Zip/Postal Code:* Birthdate:*
Your school: Your grade:
Sun Mon Tues Wed Thur Fri Sat
AM
PM
Evenings

Please elaborate on your schedule if necessary:

Please choose all that apply:

Visiting and Respite:

Other

Skills: (teaching subjects, arts & crafts, musical instruments, etc.) Fluent languages other than English:

Do you have a car?

If so, does your car have a car seat?

How far are you willing to drive?

Your occupation: Years employed:

Reference 1

Name: Phone: Relationship:

Reference 2

Name: Phone: Relationship:

I have truthfully completed this application for volunteer service. I understand and am willing to honor the time commitment required for my volunteer assignment and accept direction from Chai Lifeline staff designated. I agree to fully review policies and procedures outlined in the chai lifeline volunteer manual when issued to me.

AGREEMENT OF CONFIDENTIALITY As a chai lifeline volunteer, I understand that in the course of my contacts with families served by Chai Lifeline, I might learn privileged and confidential information that is of a highly personal nature. Examples of such information might be, but are not limited to: medical condition and treatment, finances, living arrangements, employment, identifying information and relationship among family members. I understand that all such information must be treated as confidential.I agree not to disclose any information i learn about patients and their family members to anyone, except a Chai Lifeline staff member. I will also make certain that any disclosures are made in a private setting in which no one can overhear any information that is conveyed. I understand unauthorized disclosures are considered grounds for immediate termination of volunteer status.

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