Coronavirus COVID-19 Preparedness and Guidance for the Montreal Jewish Community

COVID-19 Vaccination Volunteer Initiative

We need you! Sign up below to put your name on the list to volunteer to help facilitate the vaccination of eligible members of the community with reduced mobility or who are otherwise unable to independently reach designated vaccination sites. As specific needs become known, we will get in touch.

* First Name
* Last Name
* Date of Birth
/ /
* Mobile phone
* E-mail
I, the undersigned agree that during my time as a volunteer with Federation CJA may receive information that is confidential in nature and/or is Personal Information (a) relating Federation CJA or any Associated Organization(s); and/or (b) members of the Jewish community. All such information shall be deemed “Confidential Information” for the purposes of this NDA. In this context, “Personal Information” means any information relating to an identified or identifiable individual which is not in the public domain. I hereby agree to hold in confidence all Confidential Information relating to the affairs of Federation CJA, it’s agencies, other organizations (“Associated Organizations”) and of any client or individual with whom Federation CJA has dealings, in which Confidential Information was observed, communicated, derived or otherwise obtained in my capacity as a volunteer in any form, whether written, verbal, computer-generated or otherwise, during or as a result of my volunteer work.

In the event that I become aware of or suspect a security incident concerning the Confidential Information, I will promptly notify Federation CJA ([email protected]).

I also acknowledge that my participation to volunteer for Federation CJA, including Associated Organizations, is voluntary and at my own risk. I affirm that I am physically healthy, exhibiting no symptoms of cough or fever, and have not returned from abroad in the past 14 days. I affirm that I have not attended a large gathering, including but not limited to a wedding or other social or religious gatherings in the last 14 days. I affirm that I have adhered to all social distancing policies as set by the Federal and Provincial governments and am able to volunteer my services.

If at any time my health condition changes, I will inform Federation CJA immediately and cease my volunteer responsibilities.
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