Become a Volunteer

Name*

First Middle Last

Email*

Enter Email Confirm Email

Please note that MCNP's primary means of communication with volunteers is by email.

Home Phone*

Cell Phone

Date of Birth

If you are 13 through 18, your parent or guardian must sign the Parental Release.

Address*

Street Address Address Line 2 City ZIP / Postal Code

If you are a part of a group coming to volunteer, please name the group below.

Volunteer areas I am interested in:*

Lunch preparation (Mondays through Saturdays, 8:00 am to 12:30 pm)
Dinner preparation (Sundays through Fridays, 2:30 pm to 5:15 pm)
Inventory (Mondays through Fridays, 10:00 am to 1 pm)
Other activities.

If other, please list.

How often are you available to volunteer?*

Multiple days each week
Once a week
Once a month
Occasionally

Please list any special skills and experience relating to the chosen volunteer areas:*

Why are you interested in becoming a volunteer at Mid City Nutrition?*

Have you volunteered with us before?*

If yes, what year?

Do you volunteer with any other groups?*

If yes, where?

Emergency Contact: Name, Phone, Relationship

Applicant Signature*

*Please sign using mouse or stylus. By signing this form you acknowledge and agree to the Release and Waiver of Liability form that is located under the Get Involved tab.

Parental Signature

*Please sign using mouse or stylus. PARENTAL RELEASE OF TEENS 13-18 TO VOLUNTEER. I am giving permission for my son/daughter (named above on the Application) to volunteer at MCNP, and I release MCNP from any liability listed above while my child is volunteering with this organization.

Date*

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