Food Emergency Distribution Volunteer Request
Wyoming County Food Emergency Distribution (FED) Volunteers are needed in many capacities. If you have time to spare and are able to help please review the volunteer opportunities below. Wyoming County FED was created solely to provide access to food for people in need during the COVID-19 pandemic. We are committed to the safety of our volunteers and clients. The seriousness of COVID-19 is prompting us to take immediate steps that balance the demands of our mission while ensuring everyone’s safety at the sites providing food. By volunteering, I understand I will have access to information intended to be kept confidential and agree to do so. By submitting this form, you are affirming that you are NOT experiencing symptoms of illness right now nor have you been in contact with anyone showing symptoms of illness. If so, please refrain from volunteering today and use universal precaution. If at anytime during your volunteering you become ill please notify FED@PTD.NET immediately so that we can fulfill your duties. We also ask that if you have underlying health risks please consider a volunteer opportunity with no exposure. Please email the completed form to FED@PTD.NET or print and mail to PO box 599, Tunkhannock, PA 18657
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
Town
State / Province
Postal / Zip Code
Emergency Contact
First Name
Last Name
Emergency Contact Relationship to volunteer
Emergency Contact Phone number
-
Area Code
Phone Number
How would you like to help?:
Driving food to homes
Organizing food for deliveries
From home assistance with organization/management
From home assistance with marketing/social media
From home assistance with fundraising
Volunteer Availability?:
Monday
Tuesday
Wednesday
Thursday
Friday
What time of day works best for your schedule?:
Morning
Afternoon
Evening
Area I prefer to volunteer:
Tunkhannock
Factoryville
Mehoopany
Centermoreland
Tell us what vehicle you drive:
I have auto insurance and will provide a copy to fed@ptd.net
Yes
No
Waiver
By submitting this form, I agree to indemnify and hold harmless the FED program and its affiliates for all claims arising out of my participation as a volunteer. I also acknowledge that the FED program does not carry any insurance of any kind for my benefit or that of my trustees, heirs, executors, administrators, successors and assigns.
Submit
Should be Empty: