Five Loaves Volunteer Application

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Thank you for your interest in volunteering with Five Loaves Food Shelf. Please fill out the following form to provide us with your contact information and interests. We will contact you by email within 48 hours of your application (Monday-Thursday) with volunteer scheduling information.

Name *

First and last name

Email *

Phone number *

Can you receive text messages at the above phone number? *

Yes

Address *

Birthdate

(Please note that all volunteers 15 and younger must be accompanied by an adult.)

YYYY

Emergency Contact: Name, phone number, & relationship *

Are you able to lift without restrictions? *

Yes

Which position(s) are you interested in? *

Food Distribution: help clients make selections in pantry. 4 shifts available each week

Stocking: stock shelves on Monday, Wednesday, or Thursday mornings

Truck Deliveries: unload delivered food @ 11:30 on Mondays & Wednesdays

Senior Deliveries: call, shop, and/or deliver groceries to senior citizens - 2 times a month

Food Rescue Pick-Up: pick up donations at Aldi, Walmart, Dick's or Kwik Trip - times vary

Required

Confidentiality Agreement

All visits and information about our clients is confidential. Do you agree to keep this information confidential?

I agree

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Photo Release

I give permission to Five Loaves Food Shelf to use photos/videos that may include me in publication or kept on file for future use. I hereby agree to allow Five Loaves Food Shelf to use my image for promotional purposes, without payment or other considerations.

I agree

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