Mitzvah Application Form - October 27, 2018
THANK YOU for choosing to live generously and for participating in our parish-wide day of service!

Volunteer / Donation Form
Return your completed form to the parish office, place it in the collection at any Mass, or complete this form online no later than October 8th. There are opportunities for both volunteering and donating. You do not have to fill out a form if you wish to make a donation.

Step 1
Before you begin to fill out this form, please open the following PDF form via this link ( The Mitzvah service opportunities are described on that page. Please read through them and determine which ones you would like to volunteer for.

Step 2
Fill out the form below and hit Submit.

Complete this form online no later than October 8th.

Email address *
Basic Contact Information
Family Contact: First Name *
Your answer
Family Contact: Last Name *
Your answer
Best Phone Number to reach you at: *
Your answer
Family Members Participating
Family members participating (please list ages of those under 18). If a family member is participating in a different activity from the rest of the family, please have them fill out a separate application form (e.g. high school student going with the youth group, or family members splitting up because of two different times for activities, etc.) The icon indicates that the activity is suitable for families with younger children. Adults do not need to list their ages.
Family Member 1 - Name
Your answer
Family Member 1 - Age
Your answer
Family Member 2 - Name
Your answer
Family Member 2 - Age
Your answer
Family Member 3 - Name
Your answer
Family Member 3 - Age
Your answer
Family Member 4 - Name
Your answer
Family Member 4 - Age
Your answer
Family Member 5 - Name
Your answer
Family Member 5 - Age
Your answer
Family Member 6 - Name
Your answer
Family Member 6 - Age
Your answer
Service Opportunity Selection
The opportunities are described on the PDF form as indicated at the top of this page. Please indicate your 1st, 2nd and 3rd choices. You will be notified as to your placement. Team captains are needed for each site. The time commitment for being a team captain is minimal.

PLEASE NOTE: The choices below are in the EXACT SAME order as the page you looked at before filling out this form. Please make sure that you are choosing the correct one.

1st Choice *
2nd Choice *
3rd Choice *
Team Captain Section
For each site we need a team captain to act as point person for that site. The team captain will be responsible for contacting all team members before the day and to be in contact with the agency contact person. The team captain must have a cell phone and be able to use e-mail. Please indicate if you would be willing to be a team captain by putting TC in the box and your initials.
Willingness to be a team captain usually assures you your first choice placement.
1st Team Captain Choice
2nd Team Captain Choice
3rd Team Captain Choice
Other Opportunities on that Day
In addition to the work sites, there is also an opportunity to get involved in the day by donating needed materials ahead of time.

Cell Phones:
Drop off any cell phones you have which you no longer use. The cell phones will be taken to Verizon. The memory is purged and the phones are used to help survivors of domestic violence. Drop phones off in the gathering space or parish office before that day.

Other Donations:
Bubbles, coloring books, crayons, suduko puzzles, children’s craft supplies, sealable plastic bags in sandwich size and gallon size. Toiletries (soap, toothpaste, deodorant (men and women’s), toothbrushes (full size), hand lotion; new white socks for adults. Adult backpacks; used luggage on wheels. Plastic grocery bags from Wegman’s, Acme, Shoprite, etc. There will be baskets in the gathering space for these donations.

Gift cards needed to support Mitzvah Day projects:
Any major food store (needed for food prep); Lowe’s or Home Depot (for the gardening and home improvement project sites) and A.C. Moore, JoAnne Fabric or Target (for the craft kits for children in waiting rooms and fleece baby blankets). Gift cards and donations can be placed in the collection at Mass, preferably in an envelope with Mitzvah on the front or dropped off at the parish office. We also welcome gift cards for BJ’s where we can get supplies for any of these projects.

Questions? E-mail Pat Slater at

A copy of your responses will be emailed to the address you provided.
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