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Volunteer Application
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* Indicates required question
Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Phone number
*
Your answer
Email
*
Your answer
Reason for interest in volunteer work at the Food Pantry.
*
Your answer
Volunteer Availability (check all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Required
Please note if you are away during consecutive months.
Your answer
Special considerations (e.g., physical limitations)
Your answer
Interests/Skills (check all that apply)
On-site pantry
Delivery to clients
Weekly community food pick up
Food drive
Monthly food/supply pick up
Holiday meals
Christmas Angel Tree
Public relations
Data entry
Web design/Facebook entry
Fund raising
Other:
Current or Most Recent Employer (company, phone, supervisor)
*
Your answer
Previous Employer (company, phone, supervisor)
*
Your answer
Professional reference (name, relationship, contact info)
*
Your answer
Personal reference (name, relationship, contact info)
*
Your answer
Have you ever been convicted of a felony or misdemeanor?
*
Yes
No
If you have been convicted of a felony or misdemeanor, please explain.
Your answer
Attestation
*
I certify that the information on this application is accurate and complete. I understand that inquiries will be made regarding my background and experience and that the work I am assigned may involve carrying, lifting and moving food supplies.
Required
Signature
*
Your answer
Today's Date
*
MM
/
DD
/
YYYY
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