Thank You for Your Interest in Volunteering with Cooking Matters

Thank you for your interest in volunteering with Cooking Matters.

Please fill out the application below and we will contact you shortly about available volunteer opportunities.

Personal Information

Name: ______Home Phone: ______

Date of Application: ______Work Phone: ______

Employer: ______Fax Number: ______

Home Address: ______Cell Number: ______

______Email address: ______

Mailing Address (if different than above): ______

______

Generally preferred to be contacted via (check one): qEMAIL qCELL qHOME qWORK

How did you hear about Cooking Matters? ______

______

Area(s) of special interest: ______

Briefly describe any applicable professional training and/or experience: ______

______

List foreign languages that you speak fluently, if any: ______

Preferences

Check type of position applying for: qTeaching Role (circle or bold): Chef Nutritionist Coordinator

qClass Assistant

qClass Shopper

qCourse Coordinator

qShopping Matters Tour Facilitator

Cooking Matters offers a variety of curricula, each addressing the nutritional needs of a different group.

Choose below which group you prefer to teach (you may choose more than one):

q Children (3rd to 5th grade) q Teens q Children their guardian together

q Adults

Availability

Monday / Tuesday / Wednesday / Thursday / Friday
q9am-12noon / q9am-12noon / q9am-12noon / q9am-12noon / q9am-12noon
q12noon-3pm / q12noon-3pm / q12noon-3pm / q12noon-3pm / q12noon-3pm
q3pm-5pm / q3pm-5pm / q3pm-5pm / q3pm-5pm / q3pm-5pm
q5pm-9pm / q5pm-9pm / q5pm-9pm / q5pm-9pm / q5pm-9pm

Please be advised that certain sites require a background check on all personnel. Cooking Matters will notify you at the time that you are asked to volunteer at a particular site if that site requires a background check.

Have you ever been arrested or convicted of a crime? qNo qYes

If yes, please explain below (an affirmative response will not automatically disqualify you from being considered):

______

Two Personal References

1) Name: ______Relationship: ______

Address: ______Phone Numbers: ______

2) Name: ______Relationship: ______

Address: ______Phone Numbers: ______

I certify that all statements made in this application are true, complete, and correct to the best of my knowledge and understand that any falsification or misrepresentation of facts will result in disqualification or dismissal.

______

Signature of Applicant Date

CM Volunteer Application Page 1

Thank you for taking the time to be a part of Cooking Matters Arkansas of the Arkansas Hunger Relief Alliance. If you have any questions regarding this application or the Cooking Matters program, please contact Ashley Wright at 501.399.9999 or .