Project Makom Volunteer Application

First Name *

Middle Name

Last Name *

Phone

Email *

Address 1 *

City *

State *

Zip *

Birth Date

// (mm/dd/yyyy)

Gender

Marital Status

How many Children Do you have?

How did you hear about Project Makom

Languages Spoken

English, Yiddish
English, Yiddish, Hebrew
English
Yiddish
Hebrew
French
Spanish
Russian
Other

Highest education level?

What is your current employment?

What is your secular education? Degrees, training, certification...

Jewish Education/ Schools that you attended

Where do you daven? Who is your Rabbi?

Please describe your religious outlook and lifestyle.

Please describe your personality

What are your interests/hobbies?

With what would you be willing to help a potential match? (required)

Host for Shabbos*
Help guide into my community
Discuss Jewish hashkafa/philosophy
Use my counseling/therapy skills
Help guide through higher education
Help guide into my industry/field of work
Help get a child into a Jewish school
Tutor in various subjects
Mediate between the person and their family
Help with legal issues (such as divorce or custody)
Help with shidduchim
Mentor in general/be a friend
Help Plan events
Help Fundraise

What is your experience with chareidi/chassidish communities?

Have you made the transition out of a chareidi community/helped someone make the transition?

What other additional skills do you have that you can contribute to individuals/ Project Makom?

When is a good time to reach you by phone?:

Do you have any ideas or suggestions for what Project Makom should do?

Please provide us with a few references.

Any other comments or questions for us?

Vaccination *

I confirm that my family and I have been vaccinated
Someone in my family is immoncomprised and I will provide documentation from my healthcare provider stating this.
I have a baby who is too young to be vaccinated

Timeout Warning

Project Makom Volunteer Application