Metropolitan Council on Jewish Poverty: Survey

Volunteer Questionnaire

1.

Please let us know how to contact you:

If you have previously registered, please to prepopulate your information.

*

First Name: Required

*

Last Name: Required

*

Email: Required

Street 1:

Street 2:

*

City: Required

*

State / Province: Required

*

ZIP / Postal Code: Required

Phone Number:

Date of Birth:

Month

Day

Year

Yes, I would like to receive e-mail from Metropolitan Council on Jewish Poverty

Yes, I would like to receive postal mail from Metropolitan Council on Jewish Poverty

Remember me. What's this?

Please enter a user name and password for logging in when you return. You can use this password to update your information or receive personalized content.

*	User Name: Required	5 to 60 characters
*	Password: Required	5 to 20 characters
*	Repeat Password: Required

2.

Question - Not Required - Please give us the name of one reference, along with a phone number and the reference's relationship to you.

3.

Question - Not Required - Why would you like to volunteer?

*4.

Question - Required - What kinds of activities are you interested in doing? (Check all that apply.)
Please make between 1 and 7 selections from the choices below.

	Phone Calls to Elderly
	Food Packaging
	Greeting Cards for Elderly
	Resume Workshop
	Items Drive
	Solicit In-Kind Donations
	Administrative Tasks
	Other

*5.

Question - Required - Are you available to volunteer in the morning? (9:30 AM - 12PM) (Check all days you are available.)
Please make between 1 and 6 selections from the choices below.

	Monday
	Tuesday
	Wednesday
	Thursday
	Friday
	Sunday

*6.

Question - Required - Are you available to volunteer in the afternoon? (12PM to 5PM) (Check all days you are available.)
Please make between 1 and 6 selections from the choices below.

	Monday
	Tuesday
	Wednesday
	Thursday
	Friday
	Sunday

*7.

Question - Required - Are you available to volunteer in the evening? (5PM to 8PM) (Check all days you are available.)
Please make between 1 and 6 selections from the choices below.

	Monday
	Tuesday
	Wednesday
	Thursday
	Friday
	Sunday

*8.

Question - Required - Are you looking for: An ongoing opportunity
A one-time opportunity
Both ongoing and one-time opportunities

*9.

Question - Required - What other skills, interests, or languages might you wish to contribute to your volunteer efforts? (Russian and Yiddish speakers are of great need.)

10.

Question - Not Required - Briefly describe your educational background.

11.

Question - Not Required - Highest level of education Some high-school
High-school
Some college
College degree
Some Graduate school
Graduate degree
PhD

*12.

Question - Required - Please tell us about your employment: Employed Full-Time
Employed Part-Time
Retired
Unemployed
Student

*13.

Question - Required - What kind of work do you do?

(Maximum response 255 chars, approx. 5 rows of text)

*14.

Question - Required - I would be interested in volunteering in (select all that apply):
Please make between 1 and 5 selections from the choices below.

	Bronx
	Brooklyn
	Manhattan
	Queens
	Staten Island

15.

Question - Not Required - How did you hear about Met Council's volunteer program?
Please make between 1 and 4 selections from the choices below.

	Internet
	Synagogue
	Friend
	School

16.

Question - Not Required - Your ethnicity (for data purposes only): White (non-Hispanic)
Hispanic/Latino
Black/African American
Asian/Pacific Islander
Native American
Other

17.

Question - Not Required - Your age range (for data purposes only): Under 18
18-35
35-50
50-60
60 and over