Volunteer Application * Name * Current Address * City * State * Zip Code Previous Address (within 5 years) City State Zip Code * Cell Phone Number * Email Address * Date of Birth * What type of work would you like to do? Meet with clients Stock Shelves Water/Weed Garden Food delivery to homebound clients Food pick-up at grocery stores and/or food bank Fundraising/Gala Committee Occasional/Special Events Manage Food/Clothing Drives Front Desk/Administration Special Projects (Back to school, Winter Coat Drive, etc) Gardening/Beautification Committee Check any or all that apply * How many hours would you like to volunteer? * When are you available to work? We are open Monday, Wednesday, Friday 8AM-12PM and and Tuesday, Thursday from 2:30-6PM Are there any specific skills or talents you might like to use here? * Are there any physical limitations that would prevent you from performing your volunteer duties? Volunteering at the pantry often means lifting items 25 lbs. or more, standing for long periods of time and other warehouse activities. Yes No If you answered 'yes' to the previous question, please explain * Have you been a client of the Cheshire Food Pantry in the last 12 months? Yes No * Are you over the age of 18? Yes No CCFP only accepts volunteers 18 and over at this time. * Have you ever been convicted of a felony or a misdeamor? Yes No If you answered 'yes' to the previous question, please explain * I authorize The Cheshire Community Food Pantry, Inc. to perform a criminal background check. I understand that the Cheshire Community Food Pantry, Inc. will utilize an outside firm or firms to assist in checking such information, and I specifically authorize such action. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for volunteering will not be processed further. Yes No Comments * Electronic Signature First Last By entering your name, you certify that any information you have entered is correct * Field Label