Volunteer Health Check-In Form

  • JFS is committed to the continued health, safety and well-being of its employees, volunteers, program participants and clients. All those who are vaccinated may be unmasked if they choose. If unvaccinated, please remain masked.

  • * required fields
  • MM slash DD slash YYYY
    By checking this box, all JFS volunteers, participants and constituents affirm they:
    o Do not have temperature over 100.4 degrees
    o Do not have cold or flu-like symptoms
    o Have not had a positive COVID-19 test in the last 14 days
    o Are not quarantined as mandated by NYS Dept of Health
  • Please continue to maintain physical distance as appropriate and wash hands often. Thank you!

PROVIDING SUPPORT, SERVICES & RESOURCES FOR OUR COMMUNITY