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North County Community
Food Bank
Volunteer Registration |
Name:_____________________________ Phone:______________
(Please Print)
Address:_______________________________________________
City:___________________________ Zip Code:______________
Age group: 14-21 [ ] 22-50 [ ] 51-62 [ ] 62 & up
[ ]
In case of emergency notify:
Name:_____________________________ Phone:______________
(Please Print)
Doctor:____________________________ Phone:______________
(Please Print)
E-Mail address__________________________________________
(Please Print)
I would like to work doing the following:
| [ ] Stocking shelves |
[ ] Filling food boxes |
[ ] Office work |
| [ ] Commodities distribution |
[ ] Special Projects |
[ ] Christmas programs |
| [ ] Food drives |
[ ] Fund Raisers |
[ ] Public Relations |
| [ ] Have truck to haul with |
[ ] Can help with heavy lifting |
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The best day for me to work is:
[ ] Monday [ ] Tuesday [ ] Wednesday [ ] Thursday [
] Friday
[ ] Can work weekends for special projects
The best time for me to work is:
[ ] Morning ___________________________ [ ] Afternoon
____________________________
[ ] Evenings for special
projects__________________________________________________________
[ ] I have ________ community service hours to do
for__________________________________
My special interest in helping the North County Community Food Bank is:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Signature:____________________________________________ Date:______________
Coordinator Signature:_________________________________
Date:______________
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