Name (required)

Street Address (required)

City, State, Zip (required)

Primary Phone (required)

Work Phone

Your Email

Interests
Warehouse (*Heavy lifting required.)Food Delivery (*Heavy lifting required.)
Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.
Medical Information
Do you have any medical conditions that we should be aware of? If so, please specify.
Name of Person to Notify in Case of Emergency (required)

Emergency Contact Phone Number (required)

Emergency Contact Email (required)

Emergency Contact Street Address (required)

Emergency Contact City, State, Zip (required)

Availability
MondayTuesdayWednesdayThursdayFriday
Group Information
If you are interested in volunteering on a specific date, and/or with a group of individuals, please share those details.
Community Service
If you are required to complete community service hours, please specify the number of hours needed and deadline for completion.
I release Sheboygan County Food Bank (SCFB), its volunteers and employees of any and all claims and liabilities (including costs and attorney fees) arising out of or in any way connected to my volunteer activities. I further agree to indemnify and hold SCFB harmless from any and all claims arising from my conduct while volunteering for SCFB. In addition, I agree SCFB has unrestricted use of any photographs or videos taken for publicity purposes.
Terms of Agreement (required)Yes, I agree.Yes, I agree and I'm under 18.
If you are under the age of 18, please list the full name of a parent or guardian.

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