Volunteer Application Form

Volunteer Application
Thank you for your interest in volunteering with Northwest Mothers Milk Bank!

To protect the medically fragile infants we serve, we are only accepting volunteers who are fully vaccinated against COVID-19 for in-person tasks. We prefer volunteers who have received one or more booster shots. Fully-vaccinated volunteers may be invited for in-person tasks at the milk bank pending proof of immunization and shift availability.

Those who are not yet vaccinated or unable to be vaccinated for any reason are still able to volunteer for at-home tasks when they are available, but will not be invited for in-person tasks at the milk bank until further notice.

Thank you, and stay safe!
Date*

MonthDayYear
Name*

First NameLast Name
Pronouns
she/her, they/them, etc.
E-mail*
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Out of an abundance of caution, we will only consider individuals who are fully vaccinated against COVID-19, with preference to those who have received one or more booster shots, for in-person volunteer tasks at this time. Acceptance into the volunteer program is contingent on proof of vaccination.
Are you fully vaccinated against COVID-19?*

Yes, and I have passed the 2-week wait period recommended by the CDC for resistanceYes, and I have received 1 or more booster shotsYes, and I have not yet passed the 2-week wait periodI have received the 1st dose, but not the 2nd dose (Pfizer or Moderna)Not vaccinatedOther
How did you hear about us?
Why are you interested in volunteering with us?*
What is your current occupation (please list company if you are working)?
What skills do you have?

Clerical/OfficeFundraisingPublic SpeakingEvent PlanningBilingual or MultilingualHealthcareMailchimp (web app)Social MediaOther
Do you speak Spanish?

YesNo
We are currently seeking fluent Spanish-speaking volunteers for assistance with English-Spanish translation. Would you be willing to help with this project?

YesNo
Tell us about your personal and/or professional experiences that you feel would be relevant to volunteering at NWMMB.
Please review the tasks below and indicate which one(s) you would be most interested in.
1. Porch Pickups - Assist in socially-distanced pickups of milk from donor homes and milk drop sites, and deliver the milk frozen to the milk bank. Current drivers' licence, vehicle, and clean driving record required. We will provide supplies including gloves, masks, and coolers.
2. Front Office - Assist our front office staff by sending donor outreach emails, mailing donor gifts, scanning and filing, and performing clerical tasks in a casual office environment.
3. Processing - Assist our milk processing team in the lab with milk check-in, supply preparation, organizing paperwork, and thawing and pouring milk for pasteurization.
  - Some processing tasks involve heavy lifting, handling very cold or frozen objects, spending short periods of time in cold environments (walk-in freezer), long periods of standing, and repetitive motions.
  - Some processing tasks require a Food Handlers License after the second volunteer shift - NWMMB will reimburse the fee for obtaining such a license if volunteer does not already hold one.
4. Shipping - Assist our shipping team in the warehouse with stocking supplies, preparing boxes for shipment, and packing orders.
  - Some shipping tasks involve heavy lifting, handling frozen objects and dry ice, long periods of standing, and repetitive motions.
5. Events & Special Projects - Help on an as-need basis, with events, special projects, or committees. If you are interested in this opportunity you will be added to the special event volunteer list and will be contacted as needed.
Which volunteer opportunities are you interested in? (Click all that apply)

Porch PickupsFront OfficeProcessingShippingEvents and Special ProjectsOther
We ask milk bank volunteers to commit a 2 hour block per week for a period of 4 months.
Are you able to make this commitment?

YESNot at this time, please add me to your special event volunteer list.NO
Are you willing to submit to a background check?*

YesNo
Please list one reference (other than family members):
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Relationship (how do you know this person?)
Do you have any questions or anything you would like to tell us?
We welcome volunteers of all races, genders, and abilities.

Our location is wheelchair and mobility aid accessible.

All of our restrooms are private, all-gender, and include baby changing stations.

We have a private lactation room for volunteers, staff, and visitors who may need to pump or feed their baby during their visit. The lactation room includes a refrigerator/freezer for storing milk and a baby weigh station.

We are always happy to accommodate your little ones! If you need to bring your baby or young child(ren) to volunteer shift(s), please let our volunteer coordinator know ahead of time.

If you have any questions about accessibility, please contact our Volunteer Coordinator, Karen (karen@nwmmb.org), or use the provided space for questions or comments above.
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