Ballard Food Bank Volunteer Application
Put your answers for each question in the box below the question.
First Name: *
Your answer
Middle Initial: *
Your answer
Last Name: *
Your answer
Date of Birth: *
Your answer
Gender:
Street Address:
Your answer
City:
Your answer
Postal Code:
Your answer
Phone: *
Your answer
Email: *
Your answer
Skills, Knowledge, Experience, Languages:
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone:
Your answer
Emergency Contact Address:
Your answer
What volunteer assignments would you like to participate in?
Your answer
What Day(s) would you like to volunteer?
What Times(s) would you like to volunteer?
How did you hear about us? *
We will be checking your criminal history, is there anything you would like to explain?
Note: We do not participate in court-ordered community service programs.
Your answer
Ballard Food Bank Volunteer Agreement
I ACKNOWLEDGE AND AGREE that I am not obligated to perform the volunteer services herein
applied for and that Ballard Food Bank is not obligated to assign, or actively seek to assign
me for placement.

If accepted as a volunteer, I agree to abide by the rules and policies of Ballard Food Bank.
I have received and reviewed a copy of the Agency’s Operating Policies.

Further, I certify that the information contained in this application is true, correct and
complete to the best of my knowledge. I understand that the consideration of this
application and the continuation of any subsequent volunteer assignment depend on the
true and accurate representation of the facts stated herein. In addition, I hereby authorize
Ballard Food Bank to make inquiries regarding my work experience and references, unless
otherwise stated. I hereby release all parties and persons associated with such inquiries
from liability in conjunction with the information they provide.

I understand that Ballard Food Bank will obtain a Washington State Patrol Criminal History
Background Check on myself and hereby give my consent to this background check. I have
received a copy of the Agency’s Background Check Policy.

I ACKNOWLEDGE AND AGREE that I am not obligated to perform the volunteer services herein applied for and that Ballard Food Bank is not obligated to assign, or actively seek to assignment for placement. If accepted as a volunteer, I agree to abide by the rules and policies of Ballard Food Bank. I have received and reviewed a copy of the Agency’s Operating Policies.Further, I certify that the information contained in this application is true, correct and complete to the best of my knowledge. I understand that the consideration of this application and the continuation of any subsequent volunteer assignment depend on the true and accurate representation of the facts stated herein. In addition, I hereby authorize Ballard Food Bank to make inquiries regarding my work experience and references, unless otherwise stated. I hereby release all parties and persons associated with such inquiries from liability in conjunction with the information they provide. I understand that Ballard Food Bank will obtain a Washington State Patrol Criminal History Background Check on myself and hereby give my consent to this background check. I have received a copy of the Agency’s Background Check Policy.

*
Required
Date *
MM
/
DD
/
YYYY
Please note
Volunteer shopping is to take place only during posted shopping hours.

Volunteers may not park in the food bank parking lot - those spots are reserved for our food bank clients and trucks only.

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.