Package Delivery Program Interest (Waitlist) Form

Package Delivery Interest Form
Package Delivery brings older adults and volunteers together to share warmth and companionship. Join us this to deliver a thoughtful, seasonal care package and connect with an older neighbor!
Name*

First NameLast Name
Preferred Email*
example@example.com
Preferred Email Type*

WorkPersonalAlternate
Location:*

ManhattanWestchester
Which Package Delivery are you interested in? (Select all that apply.)*

Rosh Hashanah (typically in early - mid-September)Thanksgiving (the Sunday before Thanksgiving)Winter (typically in late January - early February)Passover (typically in late March - early April)Manhattan Only: Summer (typically in mid-July)
Manhattan Only: Are you interested in volunteering as a group? (Minimum group size is 12 people.)*

YesNo
Group Name*
Approximate Number of People*
We look forward to being in touch as the next Package Delivery date approaches with more information.
Should be Empty:

Package Delivery Interest Form