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	Get Involved - Chabad Chai Center | Jewish Community Center in Montreal
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			<div class="clearfix bh mobile-only align_right">ב"ה</div>
			
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<header class="article-header cf ">
	
	
			<h1 class="article-header__title js-article-title js-page-title">Get Involved</h1>
		
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<div><span style="color: rgb(255, 255, 255);"><span style="font-family: 'Comic Sans MS'; font-size: 14px;">If you would like to participate and get involved as a volunteer in any of our programs please fill out your personal information below.</span></span></div>

<br>
<br>
 
<div><span style="color: rgb(255, 255, 255);"> </span></div>
<div><span style="color: rgb(255, 255, 255);"><strong>*</strong> Denotes required field</span></div>
 
<table dir="ltr" class="covertype" border="2" bordercolor="#FF6600" width="465" bgcolor="#FFFF99" height="294" style="width: 465px; font-family: ; height: 294px">
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            <td class="table_th" colspan="4"><span style="color: rgb(255, 255, 255);"><strong><span style="font-size: 16px;">Personal Information for volunteers:</span></strong></span></td>
          </tr>
<tr>
            <td><span style="color: rgb(255, 255, 255);">Title:*</span></td>
            <td> </td>
            <td><span style="color: rgb(255, 255, 255);"><select class="light" name="title"><option value="0" selected> </option>
                  <option value="Chaplain">Chaplain</option>
                  <option value="Dr.">Dr.</option>
                  <option value="Dr. &amp; Mrs.">Dr. &amp; Mrs.</option>
                  <option value="Drs.">Drs.</option>
                  <option value="Mr.">Mr.</option>
                  <option value="Mrs.">Mrs.</option>
                  <option value="Ms.">Ms.</option>
                  <option value="Mr. &amp; Mrs.">Mr. &amp; Mrs.</option>
                  <option value="Rabbi">Rabbi</option>
                  <option value="Rabbi &amp; Mrs.">Rabbi &amp; Mrs.</option>
                  <option value="The Honorable">The Honorable</option></select></span></td>
            <td> </td>
            <td>
              <p><span style="color: rgb(255, 255, 255);">Company Name: </span></p>
            </td>
            <td><span style="color: rgb(255, 255, 255);"><input required="false" name="x_Company_name" type="text"></span></td>
          </tr>
<tr>
            <td><span style="color: rgb(255, 255, 255);">First Name:*</span></td>
            <td><span style="color: rgb(255, 255, 255);"><input class="light" required="true" name="x_first_name" type="text"></span></td>
            <td><span style="color: rgb(255, 255, 255);">Last Name:*</span></td>
            <td><span style="color: rgb(255, 255, 255);"><input class="light" required="true" name="x_last_name" type="text"></span></td>
          </tr>
<tr>
            <td><span style="color: rgb(255, 255, 255);">Address Line 1:*</span></td>
            <td><span style="color: rgb(255, 255, 255);"><input class="light" required="true" name="Address" type="text"></span></td>
            <td><span style="color: rgb(255, 255, 255);">Address Line 2:</span></td>
            <td><span style="color: rgb(255, 255, 255);"><input class="light" required="false" name="Address2" type="text"></span></td>
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<tr>
            <td><span style="color: rgb(255, 255, 255);">City:*</span></td>
            <td><span style="color: rgb(255, 255, 255);"><input class="light" required="true" name="City" type="text"></span></td>
            <td><span style="color: rgb(255, 255, 255);">Province:*</span></td>
            <td> </td>
          </tr>
<tr>
            <td><span style="color: rgb(255, 255, 255);"><select tabindex="1" name="State"><option value="--" selected>--</option>
                  <option value="AK">AK</option>
                  <option value="AL">AL</option>
                  <option value="AR">AR</option>
                  <option value="AZ">AZ</option>
                  <option value="CA">CA</option>
                  <option value="CO">CO</option>
                  <option value="CT">CT</option>
                  <option value="DC">DC</option>
                  <option value="DE">DE</option>
                  <option value="FL">FL</option>
                  <option value=" GA">GA</option>
                  <option value="HI">HI</option>
                  <option value=" IA">IA</option>
                  <option value="ID">ID</option>
                  <option value="IL">IL</option>
                  <option value="IN">IN</option>
                  <option value="KS">KS</option>
                  <option value="KY">KY</option>
                  <option value="LA">LA</option>
                  <option value="MA">MA</option>
                  <option value="MD">MD</option>
                  <option value="ME">ME</option>
                  <option value="MI">MI</option>
                  <option value="MN">MN</option>
                  <option value="MO">MO</option>
                  <option value="MS">MS</option>
                  <option value="MT">MT</option>
                  <option value="NC">NC</option>
                  <option value="ND">ND</option>
                  <option value="NE">NE</option>
                  <option value="NH">NH</option>
                  <option value="NJ">NJ</option>
                  <option value="NM">NM</option>
                  <option value="NV">NV</option>
                  <option value="NY">NY</option>
                  <option value="OH">OH</option>
                  <option value="OK">OK</option>
                  <option value="OR">OR</option>
                  <option value="PA">PA</option>
                  <option value="PR">PR</option>
                  <option value="RI">RI</option>
                  <option value="SC">SC</option>
                  <option value="SD">SD</option>
                  <option value="TN">TN</option>
                  <option value="TX">TX</option>
                  <option value="UT">UT</option>
                  <option value="VA">VA</option>
                  <option value="VT">VT</option>
                  <option value="WA">WA</option>
                  <option value="WI">WI</option>
                  <option value="WV">WV</option>
                  <option value="WY">WY</option>
                  <option value=" ------">------</option>
                  <option value="Canada">Canada</option>
                  <option value="AB">AB</option>
                  <option value="BC">BC</option>
                  <option value="MB">MB</option>
                  <option value="NB">NB</option>
                  <option value="NL">NL</option>
                  <option value="NT">NT</option>
                  <option value="NS">NS</option>
                  <option value="NU">NU</option>
                  <option value="ON">ON</option>
                  <option value="PE">PE</option>
                  <option value="QC">QC</option>
                  <option value="SK">SK</option>
                  <option value="YT">YT</option></select></span></td>
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<tr>
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            <td><span style="color: rgb(255, 255, 255);"><input class="light" size="10" required="true" name="Post Code" type="text"></span></td>
            <td><span style="color: rgb(255, 255, 255);">Country:*</span></td>
            <td><span style="color: rgb(255, 255, 255);"><input required="false" name="Country" type="text"></span></td>
          </tr>
<tr>
            <td><span style="color: rgb(255, 255, 255);">Home Tel:*</span></td>
            <td><span style="color: rgb(255, 255, 255);"><input class="light" required="true" name="Phone" type="text"></span></td>
            <td><span style="color: rgb(255, 255, 255);">Cell:</span></td>
            <td><span style="color: rgb(255, 255, 255);"><input required="false" name="Cell phone" type="text"></span></td>
          </tr>
<tr>
            <td colspan="4" style="text-align: center"><span style="color: rgb(255, 255, 255);">This is my <input checked type="radio" name="AddressType" value="Home"> home <input type="radio" name="AddressType" value="Business"> business address.</span></td>
          </tr>
<tr>
            <td><span style="color: rgb(255, 255, 255);"> Email:*</span></td>
            <td><span style="color: rgb(255, 255, 255);"><input required="true" name="Phone" type="text"></span></td>
            <td>
              <p><span style="color: rgb(255, 255, 255);">Confirm Email:* </span></p>
            </td>
            <td><span style="color: rgb(255, 255, 255);"><input required="true" name="Confirm Email" type="text"></span></td>
          </tr>
        </tbody>
      </table>
<p style="text-align: left"><span style="color: rgb(255, 255, 255);"><u><strong>Optional</strong></u> 
<br>
                                                                                                              <span style="font-size: 16px;"><span style="font-family: 'Comic Sans MS';">       </span> <span style="font-family: 'Comic Sans MS'; font-size: 14px;">We would greatly appreciate if you can share with us your feelings regarding</span></span> <span style="font-family: 'Comic Sans MS'; font-size: 16px;">any of our programs, or just simply give us feed back on your experience as a volunteer.          </span></span></p>
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