Volunteer Registration Form

Names Recovery Campaign: In Partnership with Yad Vashem

Please fill out this form and send it to (add contact details)

First Name and title:_______________________________________________________

Last Name:______________________________________________________________

Organization:_____________________________________________________________

Phone: __________________________

Fax:_____________________________

Email:___________________________________________________________________

How did you learn about the Names Recovery Campaign?

________________________________________________________________________

________________________________________________________________________

Please indicate why you are interested in volunteering for this project and any skills you possess (including languages) that can contribute to this project.

Please provide references.

First Name and title:_______________________________________________________

Last Name:______________________________________________________________

Organization:____________________________________________________________

Phone:________________________

First Name:_____________________________________________________________

Last Name:______________________________________________________________

Organization:____________________________________________________________

Phone:________________________

Please let us know of your availability:

I am available to make home visits in the following area/s ______________________

I am available to attend events and help survivors fill in Pages of Testimony

Other (please specify any time constraints)__________________________________