Name:

Company Name (if applicable):

Phone Number:

Email Address:

I am interested in the following (check all that apply):

Food Bank Volunteer
Volunteer Driver
Fundraising Assistance
Company Volunteer Day
Student Volunteer
Holiday Assistance Only (Thanksgiving, Christmas, etc)
Cleaning Team

What is your availability (check all that apply)?

Mondays 9:00am - 11:30am
Tuesdays (client days) 9:30am - 12:30pm
Tuesdays (cleaning of food bank) 1:00pm - 2:30pm
Wednesdays 9:00am - 11:30am
Fridays (client days) 9:30am - 12:30pm
Fridays (cleaning of food bank) 1:00pm - 2:30pm

Are you willing to commit to a permanent or temporary volunteer position?

Permanent
Temporary

Are you 18 years of age or older?

Yes
No

Please let us know any additional information or comments you would like to include: