volunteer opportunities in NYC

Food Bank Volunteer Application

VOLUNTEER INFORMATION

1.

General Contact Information

*

Name:

Title	First Required	Middle Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

Yes, I would like to receive e-mail from Food Bank For New York City

2.

Question - Not Required -Mobile number if not above:

3.

Question - Not Required -Are you interested in text alerts?YES
NO

BUSINESS/SCHOOL INFORMATION

4.

Question - Not Required -Company/School Name

5.

Question - Not Required -Graduating Year

6.

Question - Not Required -Occupation/Studies

EMERGENCY CONTACT INFORMATION

*7.

Question - Required -Name

*8.

Question - Required -Relationship

*9.

Question - Required -Phone

VOLUNTEER INTERESTS/BACKGROUND

*10.

Question - Required -Interests (please check all that apply) Please make at least 1 selection from the choices below.

	Adult Nutrition Education (Cookshop for Adults)
	Benefits Access (Food Stamps/Tax Assistance)
	Children's Nutrition Education (CookShop Classroom)
	Food Bank External Representative (Volunteer Recruitment Fairs/Etc.)
	OTHER
	Office Assistance (Internships/Administrative Support/Etc.)
	Senior Food Program
	Soup Kitchens & Food Pantries
	Special Events & Campaigns
	Warehouse Food Re-Pack (Groups Only)

11.

Question - Not Required -If you answered 'OTHER' the the question above, please specify here:

*12.

Question - Required -Skills (please check all that apply)
Please make at least 1 selection from the choices below.

	Administrative/Office
	Arts/Crafts
	Computers/Technology
	Cooking
	Curriculum Design
	Desktop Publishing/Graphic Design
	Finance
	Nutrition Education
	Photography
	Recruitment
	Video/Film
	Volunteer Management
	Writing
	OTHER

13.

Question - Not Required -If you answered 'OTHER' the the question above, please specify here:

*14.

Question - Required -What Languages Do You Speak? (please check all that apply)

	Arabic
	Chinese
	English
	French
	Hebrew
	Hindi
	Italian
	Japanese
	Korean
	Russian
	Spanish
	Other

15.

Question - Not Required -If you answered 'OTHER' the the question above, please specify here:

*16.

Question - Required -How did you hear about the Food Bank?
Please make at least 1 selection from the choices below.

	Co-worker
	Email
	Food Bank Special Event
	Friend
	Social Networking (Facebook, Twitter, etc)
	Volunteer Fair
	Website
	OTHER

17.

Question - Not Required -If you answered 'OTHER' the the question above, please specify here:

Volunteer Availability

*18.

Question - Required -Availability (please check all that apply - *when most of our opportunities occur):
Please make at least 1 selection from the choices below.

	Weekday (9am-12pm)*
	Weekday (12pm-3pm)*
	Weekday (3pm-6pm)*
	Weekday (after 6pm)
	Saturday (special projects/events)
	Sunday (special projects/events)

DEMOGRAPHIC INFORMATION

The Food Bank is dedicated to devloping a volunteer base as diverse as the city we serve. Please help us chart our progress by providing the following:

19.

Question - Not Required -GenderMale
Female

20.

Question - Not Required -Date of Birth

Month

Day

Year

21.

Question - Not Required -Current Zip Code

22.

Question - Not Required -Employment StatusFull Time
Part Time
Student
Retired
Unemployed

23.

Question - Not Required -Race/EthnicityAmerican Indian/Alaska Native
Asian
Black/African American
Hispanic/Latino
Native Hawaiian/Pacific Islander
White
Other

24.

Question - Not Required -If you answered 'OTHER' the the question above, please specify here:

REFERENCES (Please list at least one reference.)

*25.

Question - Required -a. Name

26.

Question - Not Required -a. Email Address

*27.

Question - Required -a. Phone

*28.

Question - Required -a. Relationship

29.

Question - Not Required -b. Name

30.

Question - Not Required -b. Email Address

31.

Question - Not Required -b. Phone

32.

Question - Not Required -b. Relationship

Legal Information
The Food Bank organizes various programs serving children. Because we work with a variety of child-care agencies, some of which are government-regulated, we must ask you to provide the following information. Please respond even if you don't anticipate volunteering with children at the present time. All information entered and collected is secure and will be kept completely confidential. Thank you for your cooperation.

33.

Question - Not Required -Others Names Used

34.

Question - Not Required -Social Security # (ex. 123-45-6789):

35.

Question - Not Required -Drivers License/ Identification #:

Previous Addresses for the Past 7 years:

*36.

Question - Required -(a) (ex. 39 Broadway, New York, NY, 10006)

*37.

Question - Required -(a) Dates - From___ to ___ (ex. July 2001 to August 2004)

38.

Question - Not Required -(b) (ex. 39 Broadway, New York, NY, 10006)

39.

Question - Not Required -(b) Dates - From___ to ___ (ex. July 2001 to August 2004)

40.

Question - Not Required -(c) (ex. 39 Broadway, New York, NY, 10006)

41.

Question - Not Required -(c) Dates - From___ to ___ (ex. July 2001 to August 2004)

DISCLAIMER
Please check the following boxes below to certify that the infomation entered above is complete and correct while also allowing the Food Bank For New York City and/or Danbee Investigations Corporation to use the information entered above to construct a background check (All information entered and collected is compleltely secure and confidential).

*42.

Question - Required -I hereby authorize, without reservation, any law enforcement agency, institution, information service bureau, school, employer or reference contacted by Food Bank for NYC or Danbee Investigations Corporation to furnish the information described above.Agree

*43.

Question - Required -I agree that all information above is complete and correct.I Agree

Jacob's Cafe

volunteer opportunities in NYC

Food Bank Volunteer Application

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