Volunteer Application

Name:

* indicates a required field

First Name *

Last Name *

Preferred Name

Birthday *

Contact Information:

Country *

Street Address *

City *

State *

Zip Code *

Preferred Method of Contact:

Phone Number *

Phone Number Type *

Email *

In Case of an Emergency:

First Name *

Last Name *

Phone Number *

Phone Number Type *

Relationship *

Are you volunteering as part of a group or company?

No

Yes

Volunteer Opportunities of Interest:

Please select all that apply.

Interests

Meal Delivery

Meal Packaging

Special Events

Office Assistance

For Delivery Volunteers:

Do you have valid car insurance?

No

Yes

Reminder preference:

Text

Phone Call

Email

Each day we have open routes, either due to volunteer cancellations or because the need exceeds the number of volunteers we have available. Would you like to receive our weekly email detailing open routes for you to consider?

No

Yes

Please confirm the following:

I acknowledge that upon completion of my Volunteer Orientation, I am required to provide a copy of my drivers license.

I do not have 4 or more combined at-fault accidents & speeding tickets in the last 3 years.

The following are grant related questions:

You are not required to answer

What is your race or origin?

What is your gender?

Male

Female

Nonbinary

Prefer not to answer

Are you a Veteran?

Yes

No

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