Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you 18 years of age or older? *

I am an adult

I am a minor who is 12 years old or older, and can volunteer with a legal guardian or organizational group.

Which of these volunteer positions interest you? *

*we are open to new ways to partner and volunteer. If you have an idea that is not listed, please notate that in the "skill set" text box below.

Cooking/Food Prep In Kitchen

Food Pantry Organization

Clothing Closet

Welcome Desk

Donation Delivery and Pick Up

Administrative

Special Event Volunteers

Financial Aid Program

Marketing Intern

IT and Technology

Handiwork/Maintenance Work

Organization/Cleaning

I am a services provider and am interested in partnering

Other

Volunteer and Media Policy *

I have read, understand, and consent to adhere to the Volunteer and media policies.

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

(###)

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