Kansas Food Bank - Hunger Study Volunteer Application Form
Feeding America and its network of member food banks, including the Kansas Food Bank, are seeking volunteers to facilitate a nationwide study of hunger. Volunteers will engage with individuals receiving food assistance, contribute to invaluable research on national hunger, and help to effect positive change in their communities.

Please fill out the form below completely if you are interested in participating in the data collection portion of the Hunger In America 2014 Client Survey. Once you complete the form, click the submit button at the bottom.

Please note that volunteers must be 18 years or older and *NOT* currently completing a *court-ordered* community service requirement to participate.
Volunteer Information
First Name *
Last Name *
Organization
Street Address 1 *
Street Address 2
City *
ZIP Code *
Home Phone
Work Phone
Cell Phone
Email Address *
Date of Birth *
Gender
Clear selection
Comfort Level
Are you comfortable working with diverse, low-income populations in urban and rural settings?
I Would Best Work Behind The Scenes
Bring It On! I'm Ready For Anything
Clear selection
Skill Set
Language Skills
Do you speak any languages other than English? If so, which languages?
Computer Skills
Please indicate your level of comfort with computers and the internet. These skills are not necessary, but helpful.
Low Level - Don't Ask Me For Help
Expert - I'll Teach You Everything I Know
Clear selection
Wireless Technology Skills
Please indicate your level of comfort with smartphones, tablets, and other touch screen devices. These skills are not necessary, but helpful.
Low Level - Don't Ask Me For Help
Expert - I'll Teach You Everything I Know
Clear selection
Additional Information
Please list any comments and/or other special skills, certifications, or other interests.
(EC) Emergency Contact Information
EC First Name *
EC Last Name *
EC Home Phone
EC Work Phone
EC Cell Phone
EC Relationship *
Availability
Please indicate the days and times you are usually available to volunteer.

NOTE: The minimum time commitment, per day spent volunteering, is approximately two hours. There may be sites that require a full day due to travel. The Hunger In America surveys will be scheduled based on the days and times of agency distributions from April through August 2013. This schedule will be released in early April.
Availability
Not Available
All Day
Morning
Afternoon
Evening
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Clear selection
Dates Available
In the field below, please let us know the range of dates you will be available to assist with client surveys as well as the number of sites you are willing to visit per week / per month.
Travel Restrictions
How far are you willing to travel, with a Kansas Food Bank staff member, to complete site visits?
Training
|||| TRAINING DATES ARE STILL BEING DETERMINED ||||

Training is mandatory for all volunteers assisting with the Hunger Study. All trainings will take place at the Kansas Food Bank unless otherwise noted.

Please indicate which training you will be attending. If none of these dates or times work for you, please contact Denise Gunkel, Hunger Study Coordinator, by phone 316-265-FOOD.
Liability and Photo Release
By submitting this application, I agree that I will not hold the Kansas Food Bank or its employees, interns, officers, representatives, board of directors, or any fellow volunteers liable for accidents, injuries, or death to myself that may result from any volunteer activities by, arranged by, or participated in by the Food Bank. Neither will I nor any person for whom I am lawful guardian, hold liable the persons who operate the Food Bank equipment during volunteer activities for accidents, injury, or death that may result from Food Bank activities.

By submitting this application, I consent to be photographed or videotaped and agree to allow the Kansas Food Bank to use any photo or video to be used for future promotional purposes. I understand that I will receive no remuneration in the event that any photographs, images, actions, or voice are used in Food Bank brochures, advertisements, or visual presentations. Further, I understand the context in which my photo or video may appear in this promotion/publication, and also consent for all purposes of reproduction or use of this photo or video by the Food Bank in all manners. I further understand that the material may not be used at all. Finally, I release the designer(s), photographer(s), their nominees and designees of any personal and proprietary rights that I may have with, or in, the distribution or use of this photo reproduction.
Release *
Required
Almost Done!
Notes
Finally, is there any other information we need to know in order to process your volunteer application?
Submit
Never submit passwords through Google Forms.
This form was created inside of Kansas Food Bank. Report Abuse