West Kelowna Volunteer Application - Central Okanagan Food Bank

Section 1 - Applicant Details*

*ALL FIELDS REQUIRED

First Name

Last Name

Phone Number

Address - Street

City

Postal Code

Emergency Contact Information

First Name of Emergency Contact

Last Name of Emergency Contact

Relationship to You

Phone Number

Section 2 - Volunteering Details*

*ALL FIELDS REQUIRED

Volunteer Area(s) of Interest (check any that apply)

Highest Level of Education Completed

Relevant Skills/Certificates/Licenses

Do you have any health problems, learning challenges, or do you otherwise require accommodation?

Time Commitment

1 day/week

2-3 days/week

4-5 days/week

Weekend or Special Events only

Are you volunteering to complete court ordered volunteer hours?

Yes

Are you currently a food bank client?

Yes

References*

*ALL FIELDS REQUIRED

Name

Phone

Company/Organization

Name

Phone

Company/Organization

Oath of Confidentiality and Release from Liability: (Must tick EACH to agree)

I understand that the nature of the Central Okanagan Food Bank operation requires confidentiality and I promise under oath that I will keep confidential any and all information that may come my way in the course of my volunteer work with the program, including information about clients, staff, Board members and the Central Okanagan Food Bank in general.

I hereby release the Central Okanagan Food Bank, its staff, Board members and Directors from any and all liability and/or responsibility for any accidents or injuries that I may sustain while I am performing the duties of a volunteer. I acknowledge that my agreement to these terms does not nullify my inclusion in the “accident insurance coverage” that the Food Bank subscribes to.

I further understand that as a volunteer, I am NOT covered under Workers Compensation.

I understand volunteering is voluntary, and there may be a degree of risk involved with certain tasks. After careful consideration, I will take all precautions to ensure my own safety.

I agree to submit to a criminal records check upon request, and that all information supplied in this application form is accurate.

Please note: The Central Okanagan Community Food Bank reserves the right to decline your volunteer service if your inclusion in the Volunteer Management Program is deemed unsuitable at this time or at any time in the future. Thank you for your interest in supporting the Central Okanagan Food Bank - West Kelowna.

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