Rosh Hashanah Package Delivery 2025 - Individual in a Group Registration Form

Rosh Hashanah Package Delivery 2025 - Individual in a Group Registration Form

Sunday, September 14, 2025
Note that this program is for volunteers ages 18+.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone #*
Secondary Phone #
Birth Date

MonthDayYear
Gender*
I am participating with the following group:*

New York Junior League (Sunday, September 14 at 10am)The Jewish Center Chesed Team (Sunday, September 14 at 10am)JPMorgan Chase (Sunday, September 14 at 11am)CUNY School of Professional Studies (Sunday, September 14th 11am)Bank of America Jewish Heritage Chapter (Sunday, September 14 12pm)Lev Group (Sunday, September 14 12pm)
I understand that I will either deliver a package to an older adult and stay for a 30-45 minute in-person visit OR deliver a package to an older adult and make a 15-20 minute friendly phone call later that day.*

Yes
I have volunteered for a DOROT Package Delivery in the past.*

YesNo
For verification of your identity, please provide the ID number from your government issued photo ID in the textbox below. Please remember to have your ID with you when you come to DOROT. *
Type of ID*

Driver's LicensePassportOther
Driver's License State
Expiration Date*

MonthDayYear
Date
Have you, since attaining the age of 18, been convicted of a criminal offense?*

YesNo
DOROT's Terms of Service

DOROT prides itself on providing quality programs and on our efforts to ensure the safety and well-being of volunteers and older adults. As a DOROT volunteer, I accept and will adhere to the following standards of behavior when engaged in volunteer activities. I understand that DOROT may terminate my volunteer engagement at any time for any reason including failure to follow these guidelines.
- I will participate in required training programs, follow all rules and use the recommended policies and procedures;
- I will adhere to all local, State and Federal laws and behave with the highest level of professionalism and integrity in all of my interactions with clients, staff and other volunteers;
- I will preserve the confidentiality of information about program participants that has been entrusted to me;
- I will not use DOROT volunteer status for personal, business or financial gain.
I agree to DOROT's Terms of Service for volunteers.*

Yes
Enter your initials*
Today's Date*

MonthDayYear
Date
A photographer will be taking pictures of the event. Please know that by participating today, you may be photographed and your imagine may be used in DOROT’s public relations and fundraising materials. If you don’t wish to be photographed, please let the photographer know.

Please check your responses carefully for accuracy. You will not be able to revise this form after submission.
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