Volunteer Application

Name *

First Name

Last Name

Phone *

Address

Address Line 1

Address Line 2

City

State

Zip

Email *

Date of Birth *

Gender/How You Identify

Emergency Contact 1 Name *

Phone Number *

Relationship: *

Emergency Contact 2 Name *

Phone Number *

Relationship: *

How did you learn about NFSB? *

Previous Volunteer Experience. *

List name of organization(s) and duties performed. Including previous experience with NFSB.

Volunteer Interest

Outreach
Fundraising
Neighbor to Neighbor
Thrift Shop
Food Pantry

How often are you available? *

1st Reference (Name, Address, Phone, Relationship) *

In an effort to maintain the safety of our staff, volunteers, and clients, please list three references. Include first & last name, full mailing address, phone number including area code, and relationship/how the reference knows you.

2nd Reference (Name, Address, Phone, Relationship) *

3rd Reference (Name, Address, Phone, Relationship) *

Ethnic or Racial Background

This question helps us track various demographic data; this information will not be used for screening and placement. It is NOT required.

Are you a veteran?

This question helps us track various demographic data; this information will not be used for screening and placement. It is NOT required.

Are you living with a disability?

This question helps us track various demographic data; this information will not be used for screening and placement. It is NOT required.

Signature *

I agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

Date *

(existing volunteers please list approximate date you began volunteering with NFSB)

T-Shirt Size *