Volunteer Application for GRA's Operation Lunch Box

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GIRLS ROCK AUSTIN IS LOOKING FORWARD TO BRINGING BACK THE OPERATION LUNCH BOX INITIATIVE IN 2023.

Meals need to be picked up weekdays between 9 AM and 1 PM in East Austin. From time of pickup, deliveries take less than 1-2 hours, depending on traffic.

Please answer the following questions to the best of your ability. Any demographic questions will remain anonymous and be used solely for grant funding purposes so GRA can continue providing quality programs to support members of our community.

If this application is approved, you will receive a follow-up request for:

valid drivers license
proof of insurance
vehicle registration

Email *

Name (First and Last) *

Pronouns *

She/Her

They/Them

He/Him

Required

Email *

Phone Number *

Date of Birth *

YYYY

Home Address (or address we'll be delivering to). Please include Street, Apt. #, and zip code. *

Do you have a valid drivers license that was issued by the state of Texas? *

Yes

I have a valid out-of-state issued drivers license issued.

Other:

Do you own, lease or finance this vehicle? *

Own

Lease

Finance (Auto Loan)

Do you have current liability and collision (if required) insurance for this vehicle? *

Yes

If you are selected as a volunteer delivery driver, are you able to provide GRA with proof of your current auto insurance policy via email? *

Yes

Deliveries take approximately 2 hours. Pickup location is on Springdale Road, just off Airport Blvd. (exact address will be provided in approval email). Generally speaking, what days are you available to make delivery deliveries in the Austin area? *

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Required

Will you require mileage reimbursement stipend? (The current 2022 standard mileage rate is 62.5 cents per mile). *

No, thank you.

Yes, I would need the mileage reimbursement in order to volunteer.

Have you volunteered with Girls Rock Austin in the past? *

Yes

What ethnicity/ethnicities do you consider yourself? (This question is for reporting purposes only. Your name and other information will not be disclosed.) *

Hispanic/Latina /Latino

African American/Black

American Indian or Alaska Native

Asian

Native Hawaiian or other Pacific Islander

White/Caucasian

I decline to answer.

Other:

Required

What is your Gender Identity? *

Woman

Man

Trans

Non-binary / Gender Non-conforming

I decline to answer.

Do you have any medical conditions or issues, and/or food allergies we should know about?

Yes

Clear selection

If yes, please list any medical conditions or issues, and/or any food allergies along with the reaction they trigger.

Any information you would like GRA to know?

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

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