EmailMeForm
Volunteer Application Form
This form is for volunteers only. This form is not for court ordered community service. All information marked with a * is required.
Date Time
*
MM
/
DD
/
YYYY
Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
*
###
-
###
-
####
Email
If you do not have an email address, please put N/A in the box
Adult (over 18 years old)
*
Yes
No
Birthday
*
MM
/
DD
/
YYYY
(children 10-15 years old must serve with a chaperone. Children under the age of 10 cannot serve at Mid-South Food Bank and should not accompany parent)
Are you volunteering for a specific date or event?
*
Yes
No
Event Date
MM
/
DD
/
YYYY
Event Name
What type of volunteer experience?
*
Ongoing
One Time
If you checked One Time volunteer, you do not have to fill out the next 2 questions.
How often would you like to volunteer?
once a month
once a week
other
If other,specify how often you would like to volunteer.
What day(s) would you like to volunteer?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturdays are for volunteer groups only and not available for individual volunteers.
What Date would you like to start?
*
MM
/
DD
/
YYYY
Area of Interest. Please note the dates and times of opportunities. Please check all that apply. Please note hours when indicating interest.
Kids Cafe:
Tuesday 11:30 am - 1:00 pm
Wednesday 11:30 am - 1:00 pm
Backpack Program:
Monday 9:00 am - 12:00 pm
Monday 2:00 pm - 4:00 pm
Thursday 9:00 am - 12:00 pm
Thursday 2:00 pm - 4:00 pm
Friday 9:00 am - 12:00 pm
Agency Shopping Area:
Monday 9:00 am - 12:00 pm
Monday 2:00 pm - 4:00 pm
Tuesday 9:00 am - 12:00 pm
Tuesday 2:00 pm - 4:00 pm
Wednesday 9:00 am - 12:00 pm
Wednesday 2:00 pm - 4:00 pm
Thursday 9:00 am - 12:00 pm
Thursday 2:00 pm - 4:00 pm
Friday 9:00 am - 12:00 pm
Clerical:
Monday 9:00 am - 12:00 pm
Monday 1:00 pm - 4:30 pm
Tuesday 9:00 am - 12:00 pm
Tuesday 1:00 pm - 4:30 pm
Wednesday 9:00 am - 12:00 pm
Wednesday 1:00 pm - 4:30 pm
Thursday 9:00 am - 12:00 pm
Thursday 1:00 pm - 4:30 pm
Friday 9:00 am - 12:00 pm
Serve wherever needed:
Monday 9:00 am - 12:00 pm
Monday 1:00 pm - 4:30 pm
Tuesday 9:00 am - 12:00 pm
Tuesday 1:00 pm - 4:30 pm
Wednesday 9:00 am - 12:00 pm
Wednesday 1:00 pm - 4:30 pm
Thursday 9:00 am - 12:00 pm
Thursday 1:00 pm - 4:30 pm
Friday 9:00 am - 12:00 pm
Individual volunteers are required to attend a volunteer orientation prior to their first day of service. Choose an orientation below to attend.
*
1st Monday of the month 9:00 am - 10:00 am
1st Monday of the month, 3:00 pm - 4:00 pm
4th Thursday of the month, 9:00 am - 10:00 am
4th Thursday of the month, 3:00 pm - 4:00 pm
Skills that can benefit the Food Bank - Check all that apply (for adults only)
*
Grant Writing
Public speaking
Accounting
Logistics
Fundraising
Development
Attorney
Advocacy
Event Planning
Microsoft Office
IT
Data Entry
Other (If other, please explain below)
Other Skills
Do you have any health restrictions that might affect your volunteer work? If yes, please explain
Emergency Contact Name
*
Emergency Contact Phone
*
###
-
###
-
####
Relationship
*
Would you like to be contacted for ongoing volunteer opportunities?
*
Yes
No
Would you like to receive our quarterly newsletter?
*
Yes
No
Additional Comments or Questions.
Powered by
EMF
Online Survey
Report Abuse