GROUP VOLUNTEER APPLICATION

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1 Contact Information: Please print clearly GROUP VOLUNTEER APPLICATION Organization Name: Primary Contact Name: Address: Phone: Availability (Check and circle all that apply): Monday Tuesday Wednesday Thursday Friday Weekends* Mornings (8am-12pm) Afternoons (12pm-5pm) Evenings (5pm on)** If availability is very specific please write in below: Are you available for events outside of Woodland?: Davis West Sacramento Other: *Opportunities are M-F unless otherwise indicated ask for Weekend schedule ** Opportunities are 8am-5pm unless otherwise indicated Area(s) of Interest (Check all that apply): Warehouse: packing food boxes, sorting donations, cleanings, and organizing (8:00am-2:00pm) Packaging: assist with packaging bulk items (rice) into individual servings (8:30am-5:00pm) Friday s Table: assist with our fresh produce distribution every Friday morning (6:00am-8:15am) Office: computer work, filing, data entry, mailings and organizing Kids Farmers Market: assist with weekly children s produce distributions Special Events: helping on-site at special events as needed (Needs vary throughout the year) Drivers: pickups, deliveries and assisting with distributions (must be cleared by our insurance) Harvesting: harvest fresh produce at our partner farms throughout Yolo County (times and dates vary) Type of Volunteer (Check one): One-time On-going Community service requirement On-call

2 Type of Volunteer (continued): Do you need to complete a certain number of hours? Yes No If yes, which organization are you completing the hours for? How many hours do you need? Deadline for completion: Do you need a confirmation letter? Yes No Background: Does anyone in your group speak any languages other than English? Please specify: Does anyone in your group have any physical restrictions? Yes No If yes, please explain: How did you hear about the Yolo Food Bank? Referred by a friend/family member Website Facebook Public Event Newspaper Photo Consent: I give consent for any films, videos or photographs that may be taken of me during my time as a volunteer to be used by the Yolo Food Bank or any of its participating agencies in any publicity and/or advertising programs which may be undertaken by this organization in the conduct of its legally incorporated purposes. I release and hold harmless Yolo Food Bank, its participating agencies and any consultants from any liability in connection with the use of such materials Representative Date When you have completed this form please or return to: Raymond Bautista Volunteer and Food Drive Coordinator x106 raymond@yolofoodbank.org

3 Volunteer Agreement & Consent Form I, (name), understand that I am not considered an employee of the Yolo Food Bank (YFB) while performing volunteer work for the organization. I further understand that as a volunteer I am not covered by Workers Compensation insurance (medical coverage or loss wages) for injury that may occur while I am acting as a volunteer. I hereby agree for myself, my heirs, assigns, executors and administrators to release and discharge YFB, its officers and directors, employees, agents and volunteers from all claims, demands, and actions for injuries sustained to my person and/or property as result of my volunteering on behalf of YFB, whether or not resulting from negligence and I agree to release and hold YFB, its officers and directors, employees, agents and volunteers harmless from any cause of action, claim, or suit arising there from. I hereby attest that my attendance and involvement in such activities is voluntary, that I am participating at my own risk, and that I have read the foregoing terms and conditions of this release. I grant YFB, its assigns and successor, my consent and full right to use my name, photograph, likeness, image, voice, and biography in any and all media, publications, advertising and publicity in connection with participation in the above volunteer opportunity. Name (please print) Date Signature Birthdate (mm/dd/yy) Consent of Parent or Legal Guardian to Medical, Dental or Hospital Care of Minor Child: I, (name) the parent or legal guardian of, a minor, authorize medical, dental, surgical or hospital care, treatment, or diagnosis of said minor and I agree to pay for any medical, dental, surgical, or hospital diagnosis, treatment, or care rendered to or for said minor. I have read the foregoing agreement and release and I hereby give my express consent to the execution of this agreement and release and I not evoke my consent. Parent or Guardian Name Phone # Parent or Guardian Signature Date: Emergency Contact Name: Relationship: Phone: Alt. Phone:

4 VOLUNTEER CODE OF CONDUCT Thank you for volunteering your time & services with the Yolo Food Bank and we hope that you have a safe and rewarding experience. We ask that you please cooperate with the following guidelines in order to help ensure a good lasting impression with you, those we serve, and those we work with in Yolo County. PROPER CLOTHING: Warehouse volunteers must wear close-toed shoes, shirts with sleeves, and pants or long shorts. Tank tops, flip flops, short shorts or skirts, low-cut tops, and clothing that bears offensive language/images are prohibited at the Food Bank. ATTENDANCE: Volunteers should confirm all scheduled shifts with the Volunteer Coordinator or their designated supervisor. Volunteers must contact the Volunteer Coordinator or their designated supervisor if they expect to be late or are unable to work their scheduled shift. TRACKING HOURS: Each volunteer is responsible for recording his/her own volunteer time. Volunteers should sign and sign out and the end of each shift while stating how much time they spent on a particular assignment. Volunteer Sign-In Sheets are located at the front desk and in the warehouse. CHECK IN WITH AREA SUPERVISOR: At the beginning of each shift, warehouse volunteers should check in with the Warehouse Manager. All other volunteers should check in at the front desk and meet with their designated supervisor. ANTI-THEFT POLICY: No food or drink should be taken from the warehouse or food sorting areas. Yolo Food Bank has a zero tolerance policy for theft. If a volunteer is found or suspected of stealing from the Food Bank, they will be dismissed immediately. Theft is taking anything not given to you directly by Food Bank staff. ALCOHOL, NARCOTICS & SMOKING: Anyone under the influence of drugs and/or alcohol will not be permitted to volunteer. Smoking is permitted during breaks and be in designated smoking areas only. CONFIDENTIALITY STATEMENT: No volunteer should discuss confidential client or donor information with anyone outside the Food Bank. GRIEVANCE PROCEDURE: Volunteers and staff are expected to act professionally and in accordance with their position descriptions. Should a volunteer have a grievance concerning their work environment, they should report it promptly to their Food Bank supervisor, the Volunteer Coordinator or the Executive Director.

5 INCIDENT REPORTING: Any incident in which you are harmed or injured should be immediately reported to your supervisor or the Volunteer Coordinator. An incident form should be completed to document all of the incident information. SAFETY GUIDELINES: The following safety guidelines must be followed at all times: 1. Be safe. Use proper lifting techniques, using your legs to push upwards, keeping your back straight and your body balanced. Solicit the help of another person to lift objects over 20 pounds. Ask for help if you need assistance. Do not climb on equipment, racks, pallet stacks, etc. Follow all emergency procedures during an emergency. 2. Keep your work area clean and assist with clean up at the end of your volunteer shift. Only eat/drink in the volunteer break room/kitchen and wash hands before handling food, after your break, smoking or returning from the restroom. VOLUNTEER TERMINATION POLICY: In order to ensure a fun and safe environment, all volunteers must act in a professional manner. The Food Bank also reserves the right to release a volunteer if the volunteers do not comply with the above policies. By signing below, I confirm that I have read and agree to follow the Volunteer Code of Conduct Policy set forth by Yolo Food Bank. Name (please print) Date Signature:

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