Volunteer Application Step 1 of 6 16% Todays Date* Month Day Year Name* First Last Preferred To Be CalledOptionalMaiden Name/Other Names UsedDate of Birth* Month Day Year Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number*Email* Drivers License or ID Number*State of License or ID*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificEmployer/OccupationEmployer Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of Volunteer* Regular Work Study Court Ordered community service / other program required hours If you need community service, work study or other program related volunteer hours, how many hours are needed?Name of ProgramDeadline of hours needed Month Day Year Interests*We train volunteers in both food pantry and clothing room but then try to place you in your desired area for each of your shifts. We rely on your flexibility to help where needed. Assisting clients in clothing room Assisting clients navigate food pantry Hanging & sorting clothing Stocking shelves in food pantry Special Skills or Qualifications and Previous Volunteer ExperienceSummarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. REFERENCESName First Last PhoneEmail Name First Last PhoneEmail Name First Last PhoneEmail PERSON TO NOTIFY IN CASE OF EMERGENCYName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Work PhoneDo you have any medical conditions we should be aware of? - All prospective volunteers are subject to a criminal history check. This check is confidential and open to explanations. By signing on the line below, you are both authorizing this background check and confirming that all information listed above are valid and truthful to the best of your knowledge. - A false statement on any part of your application will be grounds for not selecting you, or for removing you from future Sunshine Division assignments. - Volunteers are required to sign an additional Volunteer Agreement before working on a regular basis. I Agree SignatureType Name For SignatureDate Month Day Year Signature of parent or guardian (if volunteer is under 18)Date Month Day Year CAPTCHA 12436 SE Stark Street Food AssistanceTuesday – Friday9:30am to 11:00am &12:30pm to 3:30pm Saturday:9:00am to 1:00pm FollowFollowFollowFollow
