Volunteer Application Form

To register your interest to volunteer with Help Me Help You, please complete the form below and press the submit button. Sections that require mandatory responses are marked with an *

*Please provide your preferred phone number so we can contact you.

*Please provide your preferred email as Help Me Help You communicates mostly via email.

Business/ Employment Information 

*Please select one:
*Are you volunterring as an:

Education & Skills

*I have completed:
Have you volunteered before?
Do you speak a language(s) other than English?

Availability/Interests:

Please list the days and shifts that you are interested in volunteering below:

Please check areas that you are interested volunteerig

Emergency Contact Information:

References:

Professional Reference (employer/supervisor/client/business associate:

Personal Reference (employer/supervisor/client/business associate):

PLEASE READ BEFORE & AGREE BEFORE SUBMITTING

By checking "yes" you agree to the following:

 I acknowledge that this application becomes the property of Help Me Help You. To the best of my knowledge, the statements made by me on this application are true and complete, and I have withheld nothing which would reflect adversely on my application. I understand that the information that I have provided may be verified, and I give permission to Help Me Help You to make inquiries of others concerning my suitability to act as a Volunteer. I understand that a personal reference check or a criminal background check may be accomplished if that action is deemed necessary. In the course of volunteering, I may be dealing with confidential information and I agree to keep said information in the strictest confidence. In consideration of being permitted to volunteer my services to Help Me Help You, I hereby agree to any and all risks of injury, damage, or loss of personal property. The relationship between Help Me Help You and the volunteer is an “at-will” arrangement and may be terminated at any time without cause by either the volunteer or Help Me Help You. I, on behalf of myself, my personal representatives, assigns, heirs, and next of kin, do hereby agree to indemnify and hold harmless Help Me Help You, its employees, volunteers, or agents (the "Released Parties") from any and all claims or causes of action that may arise out of the performance of my assigned duties as a volunteer. I waive any right of action I have against the Released Parties in consideration of my participation as a volunteer for Help Me Help You. IT IS MY EXPRESS INTENTION AND THE EXPRESS INTENTION OF THE RELEASED PARTIES THAT THE RELEASE PROVIDED FOR IN THIS AGREEMENT RELEASE THE RELEASED PARTIES FROM THE CONSEQUENCES OF THE ACTS OR OMISSIONS OF THE RELEASED PARTIES, INCLUDING ACTS OF NEGLIGENCE OR ALLEGED NEGLIGENCE, AND INCLUDING WHERE SAME ARE THE CONTRIBUTING CAUSE OF THE CLAIM. I understand that volunteering at Help Me Help You may involve, but is not limited to, lifting, carrying, bending, and handling food products, including products containing peanuts and tree nuts. I am expected to follow safety rules and all other rules related to the warehouse. I hereby accept and assume full responsibility for any injury I might suffer while volunteering with Help Me Help You. I will dress appropriately: wearing sneakers or work boots, long shorts or pants, and a t-shirt or sweatshirt. I will not wear open-toed shoes, because I understand that volunteers wearing open-toed shoes are not allowed in the warehouse and will be asked to leave. I know that all volunteers must be at least 14 years of age, and if I am under the age of 16, I have to have an adult volunteer with me. I also know that there has to be at least one adult over the age of 18 for every 10 youth under the age of 16. If I am a minor and there is an injury during my volunteer shift, my parent/guardian authorizes Help Me Help You to seek treatment and to take other action should a medical emergency arise. I and my parent/guardian waive and release my right for damages. I understand that Help Me Help You accepts no liability for minor volunteers who leave the food pantry location without parental or guardian consent. I acknowledge that this waiver and release is being signed by me voluntarily, without coercion, duress, or undue influence, and with full knowledge of its terms and effects. I have read the above waiver and release of liability and fully understand its contents.

*I agree to the terms outlined above:

*MEDIA RELEASE:

*I grant Help Me Help You permission to use my likeness, voice and words in television, radio, film or in any form to promote their work.

You must be at least 14 years of age to volunteer. If you are between 14 and 17 years of age, we will receive a “Parental Consent” form to be completed by your parent/guardian prior to being approved to volunteer.

Thank you for your volunteer application! We will contact you soon for the next steps.