Volunteer Application Form 
 

First Name: Last Name: 

Address:City: State: Zip Code: 

Phone: E-mail: How do you prefer to be contacted: 

Date of Birth:   Gender:   Marital Status:
 
When are you available to volunteer? Check all that apply: 
 Weekday morning 
Weekday afternoon 
Weekday Evening 
Sunday morning 
Sunday afternoon

Which of Aleph Institute's programs are you interested in? Check all that apply: 
 Prison Visitation Program (more info)
The Dorothy Program (more info)
Torah Studies Program (more info)
Chesed Mentoring Program (more info)
Prison Support Materials (more info)
The Dorothy Program support materials (more info)
Holiday Programs (more info)
Office Work (more info)

Do you own a vehicle?
Yes No 

Are you a U.S. Citizen?Yes No 

If applying for a visitation program, how often are you able to visit? 
Monthly Four Times a Year 
Other:

Have you ever been convicted of a crime?Yes No 

Are you a victim of a crime?Yes No 

Have you ever visited someone in prison, state hospital or group home? Yes  No 
If yes, in what capacity:
 
Do you currently have a family member in prison, state hospital or a group home? 
Yes No

How much notice do you need prior to being scheduled? 

Other pertinent information: 


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