Food Pantry Volunteer Application

* = Required Fields

Personal Information
Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date of Birth * / MM / DD YYYY
Email *
Home Phone * - ### - ### ####
Cell Phone * - ### - ### ####
Experience

What other volunteer work experience do you have?

(Previous ministry experience is not required to volunteer at Foothills Community Church.)
Organization 1
Start Date / MM / DD YYYY
End Date / MM / DD YYYY
Contact Name First Last
Contact Phone - ### - ### ####
Organization 2
Start Date / MM / DD YYYY
End Date / MM / DD YYYY
Contact Name First Last
Contact Phone - ### - ### ####
Safety Risk
Have you been arrested or taken into police custody for any reason? *

Have you been arrested or taken into police custody for any reason? Yes No
Have you been convicted of, or pleaded no contest to, any crime? *

Have you been convicted of, or pleaded no contest to, any crime? Yes No
Have you participated in, been accused of, convicted of, or pleaded guilty or no contest to any sexual abuse or sexual related crime? *

Have you participated in, been accused of, convicted of, or pleaded guilty or no contest to any sexual abuse or sexual related crime? Yes No
Do you have any personal traits or tendencies that could pose a threat to children, youth, or others? *

Do you have any personal traits or tendencies that could pose a threat to children, youth, or others? Yes No
Is there any reason why you should not work with children, youth, or others? *

Is there any reason why you should not work with children, youth, or others? Yes No
If the answer to any of the above questions is "yes", please explain in detail
Physical Capabilities
Are you capable of lifting items up to 50 pounds? *

Are you capable of lifting items up to 50 pounds? Yes No
Are you capable of bending and moving in ways that support a fast-paced, active environment? *

Are you capable of bending and moving in ways that support a fast-paced, active environment? Yes No
Have you had any surgeries or medical procedures that have impacted your mobility? *

Have you had any surgeries or medical procedures that have impacted your mobility? Yes No
Personal Information
What motivates you to volunteer with the Resource Center? *
What skills do you have to offer the Resource Center? *
What do you hope to gain from volunteering with the Food Pantry? *
Applicant Verification and Release
*
I recognize that the organization to which this application is being submitted is relying on the accuracy of the information contained herein. Accordingly, I attest and affirm that all of the information that I have provided is absolutely true and correct.
*
I authorize the organization to contact any person or entity in this application, and I further authorize any such person or entity to provide the organization with full information, opinion, and impressions relating to my background or qualifications. In addition, I understand that the Pastors and Children’s Ministry Director of Foothills Community Church will be confidentially discussing my application.
*
I voluntarily release the organization and any such person or entity herein from liability involving the communication of information relating to my background or qualifications.
Printed Name * First Last
Draw your signature into the box below. *

Clear

Food Pantry Volunteer Application

Food Pantry Volunteer Application

Personal Information

Experience

Safety Risk

Physical Capabilities

Personal Information

Applicant Verification and Release