Basic Information

• First
• Last
• Mailing address:
• City:
• State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
• Zip code:
• Phone:
• Email address:

Volunteer Opportunities

• I wish to volunteer on a monthly basis Yes No
• I wish to volunteer on an occasional basis Yes No
• Would you like to be on the substitute email list? Yes No

Volunteer Availability

Distribution of food

• Saturdays, 9-12pm Yes No
• Wednesdays, 3-5pm Yes No
• Wednesdays, 7-8pm Yes No
• Other daytime hours during the week Yes No

Unloading food from truck & shelving food

• 1st Friday AM of the month Yes No
• 3rd Tuesday AM of the month Yes No

Packing standard bags of food

• Flexible dates/times Yes No

Packing produce bag

• 2nd Friday morning/early afternoon of the month Yes No

Driving truck to pick up food

• 1st Friday AM of the month Yes No
• 3rd Tuesday AM of the month Yes No

Produce Rescue

• Thursdays, 4-5pm Yes No

Community Service

• Do you need to complete hours for community service by your work at the Food Pantry? Yes No
• How many hours?
• By what date? Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
• To whom do the service hours need to be reported?

Additional Questions

• What Church, Temple or congregation are you affiliated with?
• Are you currently receiving food from the Food Pantry? Yes No
• Have you attended a volunteer orientation session at the Food Pantry? Yes No
• Have you ever volunteered at the Food Pantry? Yes No
• How did you learn about volunteer opportunities at the Food Pantry?

Person of Reference

• First
• Last
• Mailing address:
• City:
• State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
• Zip code:
• Phone: