Please get in touch to find out more and how you can help! Marilyn Klein, 116 Woodridge Drive, Harrisburg, PA 17110, 717-545-8796.

How To Become A Volunteer

Volunteer Signup Sheet

Please fill out the form below or download and print a form to be mailed to:

Josh Klein Bikkur Cholim Society
c/o Marilyn Klein
116 Woodridge Drive
Harrisburg, PA 17110
717-545-8796 or use the form below

Email Address:


Street Address:




Home Phone:

Work Phone:

Cell Phone:

I. Please check areas of volunteer interest:

Available to visit all local hospitals

Only interested in specific hospitals:
Carlisle  Harrisburg  Hershey Medical Center  Holy Spirit
Lebanon  Osteopathic  Polyclinic  Seidle Memorial  York

Available to visit out of town hospitals:
Philadelphia  Baltimore  New York  Other

Interested in visiting people in other types of institutions:
Jewish Home  Non-sectarian nursing homes and retirement communities
Homebound  Hospice  Jewish Group Home
I am willing to house relatives

Time available for volunteering (list hours):

Monday   Tuesday   Wednesday

Thursday   Friday   Sunday

Do you drive?: Yes No        Do you have a car?: Yes No

II. Please check other volunteer activities:

I am able to donate blood: Yes No     Blood Type

I am willing to cook for a family:
Weekday  Shabbat Meal  Cook and deliver to out of town hospital

I can translate:
Hebrew  Russian  Yiddish  Other

I am willing to:
Babysit  Shop  Help with Homework

Please list any special talents, skills, or hobbies that would be helpful to Bikkur Cholim:

Please list three references:

Phone Number




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© Josh Klein Bikkur Cholim Society