Please complete this application form if you are interested in becoming a Friends With Food volunteer. Once you complete the form, click the Continue button at the bottom.


Contact Information


Demographics

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



Skills & Experience

In which of these areas do you feel you have moderate to excellent skill? Check all that apply.



Availability

Please indicate the days and times you are usually available to volunteer.



Assignment Preference

The following volunteer assignments may currently be available. You may click the assignment names to learn more about that assignment. Use this list to rank your top three assignment choices.



Emergency Contact

In the event of an emergency whom should we notify?



Employer

Please list your current or most recent employer, if applicable.



EMail

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.



Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.



I Agree

I understand and agree that submitting this application form does not automatically register me as a Friends With Food volunteer.

I defend, indemnify and hold harmless Friends With Food from all liability, personal injury, loss or damage whatsoever from any cause which may arise from activities in and about the facilities of Friends with food and/or on behalf of SE WI Emergency Support Group dba Friends With Food. 

We are a judgment free zone, do not make any comments towards our guest, staff or volunteers.  Volunteers found violating this rule will be terminated. 

YOU AGREE:  

1. To respect the privacy and confidentiality of any information you may have access to and that you will access or use only that information necessary to perform your job.  

2. To refrain from communicating information about a client/families in a manner that would allow others to overhear such information or to discuss that information with anyone not permitted access to such information in accordance with the agency’s established policies.  

3. Not to access or request any protected information that is not necessary to perform your assigned job function.  

4. To abide by the HIPAA policies and procedures set forth by the agency as well as current regulations governing privacy issues.  

I further understand that the duties and obligations set forth in this document will continue after the termination, expiration, and cancellation of this agreement to include my termination of volunteerism.  

Photograph and Personal Information Release 

Please read this Photograph and Personal Information Release Form carefully before signing. By signing this form you are giving Friends With Food permission to broadcast, print or otherwise use your image and/or interview and that of any children you have designated below for promotional, educational and other purposes.  

1. CONSENT TO PHOTOGRAPH: AUTHORIZATION FOR USE AND DISCLOSURE: I, the undersigned, the Releaser, being of lawful age, personally and on behalf of any children listed below, hereby consent and authorize Friends With Food, licensees, agents, successors and assigns to use or disclose name, likeness, biographic and/or other information concerning the Releaser and/or any children listed below in print video or still photography, in digital or any other format, and any other means of recording.  

2. PURPOSE: I hereby authorize the use or disclosure of the personal information and/or photographs or video for the following uses or purposes: The images may be used in print, including: social media, newspapers, magazines and books, television, radio broadcasts, Web site (FriendsWithFoodWI.org), Newsletters, to inform the general public of the services provided by the organizations indicated above and the needs of the homeless and needy. Also the images may be used in fundraising, public relations, and promotional media for Friends With Food. Releaser hereby waives any right to compensation for such uses by reason of the foregoing authorization. Releaser, personally and on behalf of any children listed below, hereby expressly releases Friends With Food and/or its affiliates, licensees, agents, successors and assigns from all liability for any claims, demands, damages, losses, or expenses of any sort arising out of this agreement or of any use of name, likeness, biographic, and/or other information of Releaser and/or any children listed below and further acknowledges that there were no promises of any compensation for such use by Friends With Food, its affiliates or anyone associated with the latter.  

Friends With Food and its affiliates own all rights to the photographs, articles, advertising and promotion media irrespective of the form in which they are produced and used.  

3. MY RIGHTS: I, the Releaser, may revoke this authorization at any time. I must do so in writing and submit it to the Community Relations Coordinator, or in the event that he or she is unavailable then to the volunteer advisor on duty. My revocation will take effect immediately. I may refuse to sign this Authorization. My refusal will not affect my ability to volunteer at Friends With Food.  

I have a right to receive a copy of this Authorization. I, the undersigned and Releaser represent and warrant that I have read and understand this consent and authorization, and that I have the right and authority to execute this release. I, the Releaser, further represent and warrant that he or she is the parent or legal guardian of any children listed below. 

Volunteer Rights and Responsibilities  

It is Your Right 

To receive the information and supervision necessary to do the task. To feel that your efforts have real purpose and contribute to Friends With Food.  To provide input on ways your tasks might be better performed.  To be treated with respect. To expect that your time will not be wasted by poor planning or coordination of the organization. To provide input and information on your experience with the organization.  

It is Your Responsibility 

To respect those confidences entrusted to you.  Not to take on more than you can handle.  To meet time commitments or to provide appropriate notice so alternate arrangements can be made. To perform the tasks assigned to you to the best of your ability.To remain flexible when being assigned your task(s). To follow organizational policies and procedures. To be open-minded and respectful towards opinions shared with you. To notify the organization in advance of any absences or schedule change that may affect them. To receive the information and supervision necessary to do the task. To feel that your efforts have real purpose and contribute to Friends With Food. To provide input on ways your tasks might be better performed.  To be treated with respect. To expect that your time will not be wasted by poor planning or coordination of the organization. To provide input and information on your experience with the organization.  

By submitting this form, I attest that the information I have provided on the form is true and accurate.