Volunteer Application

Volunteer Applicant Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Cell Phone

Home Phone

Email*

Date of Birth*

Email Preferences

Volunteer scheduling is completed via email. We also like to keep our volunteers informed of important news and events by email. Please be sure that this email is valid.

I do not want to receive emails from Lake Cares.

Are you a seasonal Florida resident?*

Yes
No

Frequency

Do you anticipate being a ___weekly ____bi-weekly ___ monthly volunteer?

Do you speak Spanish?*

Yes
No

Are you trying to complete court ordered Community Service hours?*

Yes
No

Are you trying to complete school Community Service hours?*

Yes
No

Employer

Past Career

Why would you like to volunteer?*

Volunteer Experience*

Hobbies & Skills*

Availability*

Please select the days you are available to volunteer. Commitment will not include all of the days indicated. Times are approximate. Select all that apply.

Monday 9:00am-1:00pm
Tuesday 8:15am-1:00pm
Wednesday 8:15am-1:00pm
Wednesday 2:15pm-5:00pm
Thursday 9:00am-1:00pm
Friday 9:00am-1:00pm
Saturday 8:15am-12:00pm

Skills & Experience*

Please select the skills and experience options below that you would be willing to use in a volunteer capacity.

Emergency Contact

In the event of an emergency, whom should we notify?

Emergency Contact #1*

Emergency Contact #1 Phone*

Emergency Contact #2*

Emergency Contact #2 Phone*

Consent*

I agree not to hold Lake Cares, Inc. Food Pantry responsible for any injury or harm done to myself or for the theft of any personal articles.

Signature

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Date*

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