Convivium Urban Farmstead Volunteer Application
Thank you for your interest in helping us create community around food! As a non-profit, Convivium Urban Farmstead relies on volunteers like you to help us achieve that mission and are very appreciative of your time and work. Get ready! Volunteering with us offers opportunities to learn new skills, make new friends, and help make healthy food accessible and affordable for all.

Once we receive this application from you, our Volunteer Coordinator will contact you to determine next steps.

Questions? Call 563-557-2900 or email grace@convivium-dbq.com 
Sign in to Google to save your progress. Learn more
Name (first & last) *
Street Address *
City, State, Zip *
Phone Number *
Email Address *
Birthdate
MM
/
DD
/
YYYY
Availability- please check one. This is just to start the conversation, you are not locked in to these options! *
Interests- please tell us a little bit about why you are interested in volunteering at Convivium. *
Which areas are you interested in volunteering? The time of year will determine which projects are available.
tending soil
watering plants
tending plants
weeding & mulching
harvesting & processing produce
Gardens
Which areas are you interested in volunteering? The time of year will determine which projects are available.
processing harvest
vegetable prep
food preservation
dishwashing
helping with classes
Kitchen
Which areas are you interested in volunteering? The time of year will determine which projects are available.
tour guide
information technology (IT)
data entry, other misc. office work
Food Box Distribution
construction/maintenance
Admin/Misc.
Things we should know- are there any limitations, mobility issues, food allergies, or things we should be aware of? *
Previous experience or special skills- summarize any special skills or qualifications you have acquired from employment, previous volunteer work or through hobbies and activities. *
Tell us more! If you could compare yourself with any food, what would it be and why?
How did you hear about Convivium Urban Farmstead? *
Emergency Contact Name and Phone Number *
LIABILITY & MEDIA WAIVER: Although your safety and well-being is our priority, Convivium Urban Farmstead, its employees and affiliates, cannot assume responsibility for liability for any accidents, injury(ies) or health problems which may arise. By signing below, you agree to abide to our policies and procedures during your attendance and participation in our services and programs. By signing below, you also give permission for Convivium to take photos and videos during your time volunteering to use on our social media, website, and promotional materials. You acknowledge and agree that no sums will be due to you as a result of these materials. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms