Volunteer Application

Volunteer Application
(Please note: If you are interested in PACKAGING, you do NOT need to complete this form. Click here to sign up to package)

If you’re interested in doing more than packaging, please complete this application form to start the process. Once you complete your application, click the submit button at the bottom of the page and we’ll be in contact. Thanks for your interest!

If you have any questions, please contact us.

"*" indicates required fields

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Date of Birth*

Past experience with MftH, if any

Employment Status*

Full-time

Part-time

Retired

Student

Other

Employer Name

Volunteer Interest: In order to match you with a volunteer role, please help us understand why you want to volunteer and in what capacity. Please click all that apply.

Ongoing

Short-term

Weekly

One-time (i.e. Annual Hunger Fight)

Silver cord (HS community service)

If you are looking for ongoing opportunities, please select any of the following roles that interest you.

Pack Master

Bucket Brigade

Event Greeter

Dishwasher

Box Maker

Offsite Labeling Coordinator

Please check any listings below in which you may have experience or interest.

Please provide any additional information you would like us to consider as part of your application.

What are your hobbies? What are you looking for in a volunteer experience? Do you prefer to work independently or with others?*

Availability: Please indicate days and times you are usually available to volunteer.

Morning

Afternoon

Evening

If you're interested in a short-term volunteer role, please specify the length of time you are available. If applying for specific events, please indicate which event and date (e.g., Annual Hunger Fight, mobile events, etc.).

Please specify other information that affects your availability (e.g., seasonal residence, moving date, etc.).

In the event of an emergency, whom should we contact?

Name

First Last

Home Phone:

Cell Phone:

Work Phone

Relationship

Emergency Contact (Name, Relationship, Phone and Email)

Physician's Name and Phone Number, Hospital Preference

Do you have any physical conditions or restrictions we should be aware of?

Consent*

Meals from the Heartland provides excess volunteer accident insurance to pay for medical expenses incurred by a volunteer from an injury arising out of or in the course of volunteering at Meals from the Heartland. The insurance does not replace or compensate for any loss of wages should a volunteer-related injury prevent a volunteer from carrying out duties associated with paid employment outside Meals from the Heartland. Volunteers must report any volunteering-related injury immediately (or within 24 hours) to the work supervisor and/or volunteer coordinator so that the necessary paperwork can be completed in a timely manner.

All volunteers are expected to use reasonable caution when carrying out tasks. No one should be volunteering while under the influence of alcohol, drugs or inappropriate use of medications that might impair their ability to perform activities safely or present a safety hazard to others.

Be checking "I agree" you hereby acknowledge that you understand and are aware of the potential risks of personal injury and property damage which can or may occur and that you assume all such risks and take responsibility for your safety while volunteering at Meals from the Heartland. This agreement is binding on all heirs, representatives and assigns.

By checking "I agree" you certify that you have read this document, understand its terms and provide it to Meals from the Heartland with the intent that Meals from the Heartland rely upon it.

By checking "I agree" you are certifying that the information provided in this application is true and complete. You understand that submitting this application form does not automatically register you as a volunteer for Meals from the Heartland and that there may be certain qualifications to be met. It also indicates that you acknowledge that you will not be paid for your services as a volunteer at Meals from the Heartland. You are aware that one of the responsibilities as a volunteer is to record volunteer hours and turn them in on a regular and timely basis and that you may be asked to complete a background check. You also acknowledge that Meals from the Heartland may record, film, photograph, audiotape or videotape your name, image, likeness or volunteer work and grant permission for these to be displayed, published, distributed or exhibited for purpose of and in connection with any materials that may be created by Meals from the Heartland.

The personal information you provide on this form will not be shared without your consent. Your contact information is stored securely and only used to administer Meals from the Heartland volunteer program. Please note that you may be contacted using this information by a staff member or designated volunteer to gather feedback about your experience with our program.

Volunteers are very important to all aspects of Meals from the Heartland. Your interest and support are appreciated.

FOR VOLUNTEERS UNDER AGE 18 - The signature of a parent or guardian is required in addition to your own.

I agree.

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Volunteer Application