Volunteer Application

Please fill out the application below:

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Main Phone*
Email*
Emergency Contact*
First Last
Emergency Contact Phone*
What's the best way to contact you?*
Do you have any known medical conditions that may affect the safety of any food that you may have contact with?*
- Yes
- No
Please explain.*
Do you have any limitations that may affect your work?*
- Yes
- No
Please explain*
Are you volunteering with a group, club or organization?*
- Yes
- No
Which one?*
Are you a student?*
- Yes
- No
Which school are you attending?*
Are you fulfilling a community service requirement?*
How did you hear about us?*
Please explain*
Volunteer Release*
In checking the box below I acknowledge that I am volunteering for FOOD for Lane County. I agree to absolve and hold harmless FOOD for Lane County from and against any blame and liability for any injury, misadventure, harm, loss, inconvenience, or damage hereby suffered or sustained as a result of participation as a volunteer for FOOD for Lane County. I understand that FOOD for Lane County is a tobacco-free, weapons-free property and agree to abide by this. I agree to uphold the values of compassion, collaboration, and inclusion while volunteering at FOOD for Lane County. FOOD for Lane County also has permission to use my voice, name, likeness, photograph, or videotaped image in publicity about FOOD for Lane County and its activities.
- I agree
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