MVP Application

BS"D
MVP Volunteer Application
MVP is a special needs sensitivity awareness program designed to prepare 6th–8th grade students for a hands-on volunteering experience. Through interactive workshops, you will learn about different disabilities, master respectful ways to interact, and discover how much of a difference you can make in your community.

More info? Isabel@fcla.org
Days: Tuesdays
Time: 7PM-8PM

Session #1 Oct 20, Oct 27, Nov 3, Nov 10
Hands On Volunteer Experience: Sunday, Nov 15 | 9:45AM-11AM

Session #2 Jan 12, Jan 19, Feb 2, Feb 9
Hands On Volunteer Experience: Saturday Night, Feb 20 | 7PM - 9:30PM

Session #3 Mar 9, Mar 16, Mar 30, Apr 6
Hands On Volunteer Experience: Sunday, Apr 11 | 9:45AM-11AM
Volunteer Information
Choose your MVP session!
Full Name

PrefixFirst NameLast Name
Hebrew Name
Your Jewish Name
Gender
Date of Birth

MonthDayYear
Date
Hebrew Birthday Month
Hebrew Birthday Day of Month
Volunteer Mobile Phone
Format: (000) 000-0000.
Home Phone
Format: (000) 000-0000.
Volunteer Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
School Attending
Are you/your family affiliated with a synagogue?
If yes, which Synagogue?
List any/all Youth Groups with which you are affiliated
If none, enter "None"
Grade (as of September 1, 2025):
Parent/Guardian Status
Volunteer Lives With:
If this will be your Bar/Bat Mitzvah project, what date will you be having your Bar/Bat Mitzvah?
Parents/Guardian Information
Mother's Name

PrefixFirst NameLast Name
Mother's Hebrew Name
Mother's Mobile Phone
Format: (000) 000-0000.
Mother's Email
example@example.com
Mother's Occupation
Mother's Place of Employment
Mother's Work Phone
Format: (000) 000-0000.
Father's Name

PrefixFirst NameLast Name
Father's Hebrew Name
Father's Mobile Phone
Format: (000) 000-0000.
Father's Email
example@example.com
Father's Occupation
Father's Place of Employment
Father's Work Phone
Format: (000) 000-0000.
Accident & Trip Declaration
Accident: As the parent/legal guardian of {fullName3}, I authorize any adult acting on behalf of Friendship Circle Los Angeles to hospitalize or secure treatment for my child and I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Friendship Circle personnel will try, but are not required, to communicate with me prior to such treatment.

Trips and Outings: I hereby give permission for my child, to attend and participate in all trips and outings organized as part of the program by Friendship Circle.
ACCIDENT & TRIP DECLARATION Parent/Guardian Signature
Print Name
Date
Parental Consent
- I hereby give permission for my child to attend and participate in the MVP program and volunteering experience at Friendship Circle.
- I grant the Friendship Circle permission to use my or my child's name, image, likeness or recording in connection with any promotional materials including, but not limited to, brochures, advertising, social media and broadcasts.
PARENTAL CONSENT Parent/Guardian Signature
Print Name
Date
Participant Name (full legal name):
References (Required)
We require a reference form to be submitted for your application to be complete. It can be a Rabbi, teacher, or someone that is familiar with how you work with children. Simply direct them to the link below, or print the form for them and email them to us.

MAY NOT BE FILLED OUT BY A RELATIVE

Reference Form
Email for receiving receipts and confirmation of this application:
example@example.com
Should be Empty:

MVP Volunteer Application

Volunteer Information

Parents/Guardian Information

Accident & Trip Declaration

Parental Consent

References (Required)