The Harvest Cafe Volunteer Application

Volunteer Application for The Harvest Cafe

We are pleased you are interested in volunteering at the Sebastopol Area Senior Center. Our volunteers provide an invaluable service. Thank you for applying for a volunteer position! Protocol: To ensure it's a great fit for both you and the Senior Center, we will invite you to come in for a trial shift that works for you. This will give you a chance to get a feel for the work and to meet our staff and volunteers. It will also help us see how your skills and interests align with ours.
Your contact Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Tell us about yourself
Your previous work experience*
Previous Volunteer Experience*
List any Clubs or Organization Affiliations/Areas of creative interest:
Why are you interested in volunteering with The Harvest Cafe at the Senior Center?*
How did you hear about us?
Any Limitations?*

Heavy LiftingLimited WalkingVision ImpairmentLimited hearingNo LimitationsOther
Your References

Please provide the name of 2 references
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

What day are you available for volunteering at The Harvest Cafe?

	MON	TUE	WED	THUR	FRI
11am - 2pm

Please note ~ All volunteers in the harvest Cafe are required to complete an online Basic Food Safety certificate (paid for by SASC) before your first shift. This consists of a video with a short quiz afterwards.
Emergency Contact Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship to you:*
Spouse, sibling, friend etc
Phone Number*
Please enter a valid phone number.
Should be Empty:

Your contact Information