Home Delivered Groceries Volunteer Application (over 18)
Last Name
Your answer
First Name
Your answer
Middle Initial
Your answer
Address
Including City, State, and Zipcode
Your answer
Home Phone
Your answer
Cell Phone
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Email Address
Your answer
Primary Language Spoken
Your answer
Additional Languages Spoken
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Emergency Contact Information
Please include Name, Relationship, and Phone Number
Your answer
Are you able to commit to volunteering for one year?
Are you able to commit to volunteering on a regular basis, once a week?
We can schedule subs and back up delivery people if there is ever a reason you cannot make it (i.e. vacation, sickness, life, etc.)!
Are you available Tuesdays between 3:00 and 6:00 pm or Thursdays between 2:30 and 6:30 pm?
Will you be driving a vehicle to make your deliveries?
Are you available to help bag groceries on Tuesdays between 2:00 and 3:00 pm or Thursdays between 1:00 and 2:00 pm?
Will you be volunteering with other members of your family? If yes, please list them below:
Your answer
If you are unable to pick up/deliver for any reason do you know of someone else who would be willing to go through training as an alternate?
If yes, please list their Name, Phone Number, and Email Address below:
Your answer
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