This helps us track if you might have an opportunity to match donations or volunteer hours through your employer.

Please give Name, Primary Phone and Alternative Phone (if available)

Let us know if you have any allergies, particularly food allergies.

If yes, please describe

Hunger Intervention Program's values are Nutritious Food, Community, Equity, Empowerment, Advocacy, and Environmental Sustainability. Our values guide how we operate every day, and we want our volunteers to agree with and reflect these beliefs.

Upon reading HIP's values and having the opportunity to learn more at www.hungerintervention.org/our-values, do you agree with and support our values?

I desire to participate in volunteer programs, events or activities operated or sponsored by Hunger intervention Program (HIP). I have investigated the risks involved in my participation and fully understand and assume such risks. Specifically, I understand and acknowledge that I may suffer or experience, among other things, personal injury or bodily damage, mental anguish, or loss, damage or theft of personal property.  I hereby agree to release and forever discharge Hunger Intervention Program, its officers and directors, its employees, agents and any parties volunteering on behalf of Hunger Intervention Program from expenses of any kind growing out of or related to any such activities in which I participate. I understand that this is a full and complete release for all liability, cost, injuries, and damages that I may sustain as a result of my participation in any volunteer activities, regardless of the specific cause thereof.  I have been made aware of resources to which I can turn to answer my questions or address any concerns that I may have about volunteering. I have exercised my right to access these resources to address those questions/concerns prior to signing this document and am making a voluntary, informed decision to accept the terms of the agreement.  Furthermore, I agree to not divulge, publish, photograph or otherwise make known to unauthorized persons, any information regarding clients of Hunger Intervention Program (HIP) at any of its service locations or locations of its program partners. I understand that my obligations to protect client confidentiality continue after termination of my volunteer duties with HIP. This agreement is binding upon my heirs, successors, and personal representatives.

I hereby consent to the photographing of myself for Hunger Intervention Program’s use as still photographs, videotape, television presentations, and/or for any purposes necessary to the agency, waiving all claims for compensation.  I also hereby consent to the use of my name and biographical data to be used as indicated above. Further, I hereby release Hunger Intervention Program, its directors, officers, employees, and/or assignees from any and all claims for damages, libel, slander, invasion of the right of privacy, or any other claims based on the use of said material.