SECOND HARVEST

VOLUNTEER APPLICATION

Application Information

Full Name _________________________ __________________ Date ___________________

First Last
Address ____________________________________________________________________
Apt./ Unit #
____________________________________________________________________________
City Province Postal Code
Phone________________ __ Email __________________ Age _______
Days Available:________________________________________________________________
(Storefront Wednesday, 4 – 6 pm Friday 12-3 Tuesday Food Prep 9-12 pm. Other days available for food pickup from
various merchants)

Position Applied for: ____________________________________________________________

(Storefront, Food Prep, Pickup from Merchants. Food Sorting, Shelf Stocking, Gleaning)
Have you volunteered with us before? Yes __ No __ If yes, when? ____________________
Who was your supervisor? ____________________ Are you retired? Yes ___ No ___
Can you lift min 10 – 25 lbs Yes ___ No ___ Do you have Food Safe Cert.? Y/N
Can you lift boxes up to 60 lbs? Yes ___ No ___ Do you have food industry Experience? Y/N
Do you have a criminal record? ___________________
Previous Volunteer Experience? ___________________________________________________
Are you working, if so, where? _____________________________________________________

Emergency Contact

Full Name ________________________________________ Phone# _____________________

I certify that my answers are true and complete to the best of my knowledge. If this application
leads to a volunteer position, I understand that false or misleading information in my application
may result in my release.

Signature:____________________________________ Date: ______________________