JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
COVID-19: Food Drop Volunteers
New health guidelines for volunteers during the food drops while COVID-19 is a threat in the community.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
I agree to complete this form by noon (12:00pm) on Monday before the Wednesday drop, and to get confirmation of my volunteer duties from the volunteer coordinator by Tuesday.
*
I AGREE, TO ONLY VOLUNTEER WITH CONFIRMATION FROM THE VOLUNTEER COORDINATOR.
Required
Name of volunteer:
*
Your answer
Phone number of volunteer:
*
Your answer
Address of volunteer;
*
Your answer
I have a cell phone/tablet with unlimited wireless data that I can bring with me when I volunteer:
*
YES
No
What language(s) do you speak;
*
English
Spanish
American Sign Language
Other:
Required
I agree to have clean self-hygiene before coming to my volunteer position, including; hair pulled back, beards completely shaved/covered, clean clothing covering as much of the body as comfortable, etc;
*
I agree to all hygiene practices to prevent spread of infections.
Required
I agree to have a mask/respirator on at all times during my volunteer shift (9:30am - 12:30pm). Masks and respirators should completely cover all facial hair;
*
I agree to wear a mask/respirator at all times.
Required
I agree to have impermeable hand gloves for my volunteer shift (9:30am - 12:30pm). Hand gloves should be sanitized with hand sanitizer anytime a volunteer thinks the gloves have been compromised;
*
I agree to wear impermeable hand gloves at all times.
Required
I agree to NOT smoke/vape anywhere on the property, or within 20 feet of any client or clients' cars;
*
I agree to NOT smoke/vape.
Required
I agree to only touch food pallets/food I have been assigned to by the volunteer coordinator;
*
I agree to NOT touch food pallets/food without direct permission.
Required
I agree to "Social Distancing" guidelines and to try to keep 10 feet away from all clients and volunteers at all times (Place food by the cars and let clients load the food on their own);
*
I agree to Social Distance myself from all volunteers by 6 feet and clients by 10 feet.
Required
I agree to NOT volunteer if I am feeling symptomatic in any way, including; loss of smell, loss of taste, sneezing, coughing, fever, runny nose, light-headed, hard time breathing, nauseated, etc.;
*
I agree that I DO NOT have any symptoms of illness.
Required
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
Forms
