Volunteer Application

Join Palm Beach Chaverim.

Ready to help your neighbors? Fill out the application below to become a volunteer. We review every application and follow up personally.

Personal Information

Full Name *

Phone / WhatsApp *

Email Address *

Home Address

Street Address *

City *

State *

ZIP Code *

Residency

Are you a full-time or seasonal resident? *

Full-time Seasonal

Second Home Address *

Street Address

City

State

ZIP Code

Employment

Are you currently employed?

Yes No

Company Name

Supervisor Email

Company Address

Marital Status

Single Married

Your spouse will receive a WhatsApp message with a short approval form. Their response will be saved to your member profile.

Spouse First Name

Spouse Last Name

Spouse WhatsApp Number

Emergency Contacts minimum 2, up to 5

Availability Sunday through Friday

Skills

Change a tire Jump start / boost Fix a flat Car lockout House lockout

Affiliation

Shul Affiliation

Member of other volunteer organizations?

Yes No

Organization Unit / Chapter # (optional)