Student or Short Term Volunteer Application

Name: ______Date: ______

Phone: home:______cell:______E-mail: ______

Address: ______Date of Birth: ______

Emergency Contact Name: ______Contact Number: ______

Volunteer Background

Please tell us something about yourself (i.e. life/work experience, civic organization, skills, etc.).

Volunteer Agreement

Scheduling and Agreement

We ask that all volunteers schedule shifts in advance and do their best to be present and on time for each event or shift. If you know you will be late or unable to attend, please contact the person in charge of the event or the volunteer coordinator at least 24 hours before the event or as soon as you know you will be unable to attend. Volunteers are asked to sign in and out on CFB volunteer time sheets each time they volunteer.______

Confidentiality

Due to the sensitivity of the data collected from participants, donors, staff and volunteers of CFB, including the Thrift Store and Dental Clinic, all information is considered confidential and should be treated as such. Discretion and audio privacy is required when discussing sensitive information while volunteering. Additionally sensitive information concerning participants, donors, staff and volunteers should not be discussed with anyone outside of CFB._____

Dress Code

Volunteers are asked to wear appropriate clothing and CLOSED TOE SHOES when working in any department of the Food Bank, Thrift Store and Dental Clinic or at outside events. If clothing is deemed inappropriate by CFB management or open toed shoes are worn, the volunteer will be sent home and requested to change prior to returning._____

Photo Release

I consent to the unrestricted use of any and all photographs taken by the Covington Food Bank in whole or in part, in any form or medium, including, without limitation, to its use through or on any electronic media, including the internet._____

Furniture or Food Pick-ups

If you are over 16 years of age you may be asked to accompany another volunteer or paid employee to assist in furniture or food pick-ups in the community with my consent.______

Signature______Date______

♦Food Bank of Covington, LA, Inc.♦840 N. Columbia ♦Covington, LA 70433♦985-893-3003♦