Volunteer Application

Application and CORI form

Thank you for your interest in the Greater Boston Jewish Coalition for Literacy.

Both new and returning volunteers must fill out this form, and return to 126 High St, Boston, MA 02110.

For more information on Criminal Offender Record Information (CORI) reports visit http://www.mass.gov/legis/laws/seslaw02/sl020385.htm

For more information please visit our website www.jcrcboston.org/literacy or call 617-457-8669

Personal Information

Name:

Maiden Name or Alias (if applicable):

Address: City, State, Zip:

Phone #: Email:

Date of Birth: Social Security # (optional):

Signature:

Team Information

Synagogue/Team:

School:

This will be my ________ school year as a GBJCL volunteer! (i.e. 2^nd, 3^rd, 4^th, etc)

If you are a new volunteer, how did you hear about us?

Training Dates

All new volunteers are required to attend training before beginning their tutoring commitment. Returning volunteers are also welcome to attend. (See Literacy Volunteer Training Calendar for training dates and times). Please indicate your choices for training sessions

1 ________ 2 ________

Volunteer Referral

Please let us know of anyone who might be interested in receiving information about the GBJCL. Feel free to use the backside of this sheet for additional names.

Name:

Address:

Phone #: Email:

Requests/Comments

A program of the Jewish Community Relations Council of Greater Boston,

an agency of Combined Jewish Philanthropies; a beneficiary of United Way Massachusetts Bay

126 High Street · Boston, Massachusetts 02110-2700

Phone (617) 457-8669 · Fax (617) 988-6255