Food Program Volunteer Form

Food Program Volunteer Form

Thank you for your support and participation in Universal Community Health Center (UCHC)'s food distribution program.
Please sign up to volunteer at one of our upcoming events
Name*

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Volunteer for a Saturday Food Pantry event?*
All dates are Saturday mornings.
Volunteer at our facility weekdays:

MonthDayYear
From 9:00am 12:00pm or 1:00pm 4:00pm
I am 18+ years old and consent to a Background Check: I understand that Universal Community Health Center screens all potential volunteers who are 18 and over of their criminal background. By applying to volunteer, I consent to UCHC running a background check and understand my ability to volunteer is subject to the results of the check.I am 17 and younger, who will turn in an electronic parent/guardian permission slipI am UCHC staff / volunteering alongside my UCHC staff contact (friend or family)I am a returning volunteer
Volunteer Agreement:

I am submitting this form to volunteer in UCHC's food distribution program.
- I understand that my participation as a volunteer in the Food Program is entirely voluntary and that there is no compensation for my services.
- I agree to abide by the rules and policies of the Food Program.
- I agree to maintain the confidentiality of any sensitive information to which I may be exposed while volunteering.
- I agree to practice good hygiene, including but not limited to regular hand washing, wearing clean clothing, and using gloves as required.
- Photographic Release: I grant and convey to UCHC all right, title, and interests in any and all photographs, images, video, or audio recordings of me in connection with my providing volunteer services to UCHC.
- I agree to attend a mandatory volunteer orientation prior to volunteering to better understand best practices, food pantry policies and volunteer goals
Signature*

Clear
Today's Date*

MonthDayYear
Date
Next Steps:

Food Program Coordinator, Erika Flores, will reach out and provide more details about the volunteer opportunities, upcoming orientation & food pantry info.

You may also contact Program Supervisor, Abel Rosales, with any questions.
Should be Empty: