Caridad Community Kitchen Application

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Your Name: *
E-mail:
Phone: *
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Cell Phone:
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Address:
Emergency Contact: *
Emergency Contact Phone: *
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How Did you hear about the Caridad Community Kitchen?:
Are you completeing community service for any of these reasons?:
If you selected "other" please explain:
Number of hours required:
Required completion date:
Physical limitations:
Are you taking any medications we should be aware of? (if yes, please explain):
Do you have back problems?(if yes, please explain):
Do you prefer a seated volunteer position?(if yes, please explain):
How many pounds do you feel comfortable lifting?:
Chose when you are available (you may choose more than one):
Please mark your areas of interest:
How many other places do you volunteer:
Would you like to receive the CFB Newsletter?:
Language skills
Other language skills:

Volunteer Consent

Thank you for agreeing to volunteer at the Caridad Community Kitchen (CCK). We appreciate the work of volunteers. These guidelines have been established to create a safe, productive and gratifying volunteer experience for everyone.

Caridad Community Kitchen Policies

1.Volunteers must not report to the CCK under the influence of alcohol or any other mind-altering drug/substance.

2.Individuals convicted of a violent crime or any type of domestic abuse will not be accepted as volunteers.

3.All matters pertaining to clients will be considered strictly confidential.

4.Dress is expected to be appropriate. Nothing that may be a safety hazard will be permitted (i.e. loose fitting clothing or jewelry, opened toed shoes, sunglasses). Name tags must be worn at all times.

5.Report volunteer time on the attendance sheets. Notify the manager as soon as possible if deleyed or unable to keep your schedule..

6.If you have a question or a problem, go to the Program Manager or Kitchen Manager

7.When representing the Community Food Bank in public, volunteers will act professionally, upholding the mission.

8.No forms of harassment will be tolerated. The Community Food Bank is committed to providing a work environment where women and men can work together comfortably and productively, free from all forms of harassment, sexual or otherwise.

9.Eating is allowed only in the break room. There is no eating of drinking of donated products. There is no smoking in the building. Smoking is allowed outdoors 100 feet away from the building.

10.Report any accidents or injuries to your Program Manager or Kitchen Manager. Report all injuries minor injuries such as bruises and scrapes. Fill out an accident report provided by your Program Manager of Kitchen Manager.

11. Follow all safety standards and emergency procedured, including use of safety devices. Report any unsafe conditions to your supervisor.

In return the Caridad Community Kitchen agrees to:

1.Provide adequate job training, space and good working conditions.

2.Maintain record of all volunteer hours.

3.Provide references and /or confirmation of hours worked (with advance notice).

4.As an equal opportunity employer, it is our policy to ensure that each volunteer is accorded equal treatment and opportunity.

5.The Program Manager will provide further information on these policies through the Volunteer Manual or individually on request.

Waivers

I agree to hold harmless and waive any and all claims or causes of action against the CCK arising out of any cause whatsoever, including but not limited to claims arising out of the negligence on intentional conduct of its employees or agents.

I attest that I am physically fit and prepared to perform the tasks assigned to me as a CCK volunteer.

I further agree to use my personal insurance as the primary provider in the event of injury due to my work as a volunteer for the CCK.

I shall not operate a personal vehicle for volunteer activities unless I have at least the minimum amount of liability insurance required by Arizona law.

The CCK is not responsible for loss or damage to volunteer’s personal property.

I also grant the CCK/CFB full permission to use photographs and video of me.

Agreement: *
Survey information: (Optional information for grant writing and funding purposes.):
Age:
Birth Date:
 /  / 
Ethnicity (chose one)
Education (choose one)
Income Range per Year
Occupation: