Volunteer Application Collecting volunteer information Step 1 of 2 50% Personal InformationToday's date: Name(Required) First Last Address(Required) Street Address Address Line 2 City ZIP Code Month of Birth(Required)Please select1 - Jan2 - Feb3 - Mar4 - Apr5 - May6 - Jun7 - Jul8 - Aug9 - Sep10 - Oct11 - Nov12 - DecDay of Birth(Required)Please Select12345678910111213141516171819202122232425262728293031Phone(Required)Best number to reach youEmail address(Required) EMERGENCY CONTACT INFORMATIONName(Required) Relationship to You:(Required)SpouseImmediate Family MemberExtended Family MemberNeighborOtherOther(Required) Phone Number(Required)MORE INFORMATIONHow did you hear about us?Why are you interested in volunteering with Solanco Neighborhood Ministries?What days and hours are you available to volunteer?(Required) Add RemoveTell us about you. What previous work or volunteer experience have you had? What special skills/certifications do you have?Description of volunteer types Office meeting with clients and helping them get connected to services Computer skills a plus Packing food orders once a month Working in warehouse stocking shelves, unloading deliveries, light cleaning, etc. Once/week OR once/ every other week Special events help plan and/or participate in special events such as fundraisers, backpack giveaway day, food drives, etc. Church Liaison be the bridge between the ministry and your church. You will share ministry news, needs, and updates. Fundraising Champion Do you love to raise money for your favorite organizations? We need your help! Transportation Help deliver meals to individuals who are home-bound or who do not have access to transportation; possibly help with other delivery needs (i.e. furniture) Greeter Welcome folks to the foodbank and direct them to their destination. Light clerical duties and interaction with our food packers. 1 day/week, 9am-12pm or 1pm-4pm. How would you like to volunteer?(Required)Please Check all that apply. Office Packing food orders Special Events Church Liaison Fundraising Champion Transportation Greeter Do you have any physical limitations(Required) Yes No Physical limitation assistance information(Required)If yes, please list any ways we can accommodate you (allergies, physical restriction, etc.)For your safety and the safety of other volunteers, we are unable to accept volunteers who have been convicted (found guilty) of a violent crime or theft. Have you ever been convicted of a violent crime or theft?(Required) YES NO Do you have any criminal charges pending?(Required) YES NO CONFIDENTIALITY AND PHOTO RELEASEPhoto Release(Required) I agree to the Photo Release policy.(Required)I consent to be photographed or videotaped and agree to allow Solanco Neighborhood Ministries to use any photo or video to be used for future promotional purposes. I understand that I will receive no remuneration in the event that any photographs, images, actions, or voice are used in ministry brochures, advertisements, or visual presentations. Confidentiality(Required) I agree to the Confidentiality policy.(Required)As a volunteer at Solanco Neighborhood Ministries, I understand that I may see, hear, and have access to confidential or sensitive facts, matters, documents, files, or other materials pertaining to S.N.M. clients. I will not discuss or disclose any of the above to anyone outside of the organization. I agree that the requirements of confidentiality extend from my time of volunteer service indefinitely into the future so long as the facts, matters, documents, files, or other materials are confidential or sensitive. I certify all information is true and has been given voluntarily. I understand that this information may be disclosed to any party with legal and proper interest. I release the agency from any liability whatsoever for supplying such information. Signature(Required)Office First Choice Second Choice Third Choice Packing Food Orders First Choice Second Choice Third Choice Working in the Warehouse First Choice Second Choice Third Choice Special Events First Choice Second Choice Third Choice Church Liaison First Choice Second Choice Third Choice Fundraising Champion First Choice Second Choice Third Choice Greeter First Choice Second Choice Third Choice
