Feed St. Mary’s Volunteer Form

Title

First Name*

Last Name*

Address:

Street Address City State / Province / Region Postal / Zip Code

Email:*

Phone:

I am capable of doing physical labor and lifting:

Yes

Please list any special skills, interests, and/or trainings that you have that may be helpful in the food bank:

Emergency Point of Contact First Name*

Emergency Point of Contact Last Name*

Emergency Point Of Contact Address:

Street Address City State / Province / Region Postal / Zip Code

Emergency POC Phone

Emergency POC Email

If you have any physical limitations. special needs, or health concerns that we should know about, please list them below:

I certify that my answers are true and complete to the best of my knowledge. As a condition of volunteering, I give permission to Feed St. Mary’s Food Bank to conduct a criminal background check. I understand that my volunteering requires that no evidence of adult/child abuse or sexual offenses be found. I understand that the Feed St. Mary’s Food Bank is not required to appoint me to a volunteer position. I have read and understand all policies and procedures of Feed St. Mary’s Food Bank. If this application leads to the opportunity to volunteer, I understand that false or misleading information in my application or interview may result in my release:*

Agree

Decline

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