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


If you are applying to volunteer as a group, please indicate "Group" under Type of Volunteer.


Basic Information


Emergency Contact


Criminal History

Have you ever been convicted of a crime? [If yes, please explain the nature of the crime and the date of the conviction and disposition.] Conviction of a crime is not an automatic disqualification for volunteer work.



Email Preferences

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 Waiver

I understand that my work is voluntary and that some risks may occur due to the nature of the work in F.A.R.M. Cafe or at a F.A.R.M. Cafe-sponsored event. I understand and assume these risks and hereby release F.A.R.M. Cafe and its officers, directors, employees, affiliates, or agents from any and all liability regarding the volunteer effort with F.A.R.M. Cafe. I agree to save and hold each of them harmless from and against all claims, costs, expenses, demands, and actions with the volunteer effort.



Health Policy Agreement

By clicking the "I agree" box, I understand that I agree to the following statements:


Volunteer Health Policy


1.)I agree to report to the manager before volunteering when I have:

Diarrhea

Vomiting

Jaundice (yellowing of skin and/or eyes)

Sore throat with fever

Infected cuts or wounds, or lesions containing pus on the hand, wrist, or any exposed body part (such as boils and infected wounds, however small)

Or any other potentially contagious illness


2.)I agree to report to the manager before volunteering when I have:

Norovirus

Salmonella Typhi (Typhoid Fever)

3. Shigella spp. Infection

E. Coli infection (Escherichia coli O157:H7 or other EHEC/STEC infection)

Hepatitis A

Or any other contagious illness


3.) I agree to report to the manager before volunteering when I have been exposed to any of the illness listed above through:

An outbreak of Norovirus, Typhoid Fever, Shigella spp. Infection, E. Coli Infection or Hepatitis A

A household member with Norovirus, Typhoid Fever, Shigella spp. Infection, E. Coli Infection or Hepatitis A

A household member attending or working in a setting with an outbreak of Norovirus, Typhoid Fever, Shigella spp. Infection, E. Coli Infection or Hepatitis A


4.)Per CDC guidelines: Any of the following symptoms related to Covid-19 must be reported to management:

Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:

Cough,Shortness of breath or difficulty breathing,Fever, Chills, Muscle pain, Sore throat, New loss of taste or smell

This list is not all possible symptoms. Other less common symptoms have been reported, including gastrointestinal symptoms like nausea, vomiting, or diarrhea.


Exclusions and Restrictions from Volunteering

If you have any of the symptoms or illnesses listed above, you may be excluded* or restricted** from volunteering at F.A.R.M. Cafe.

* If you are excluded you are not allowed to volunteer.

**If you are restricted you are allowed to volunteer, but your duties may be limited.


Volunteers must be symptom free for 14 days minimum before volunteering at the Cafe.


Please indicate that you have read and agree with this policy by checking off 'I Agree' on your volunteer application form.


You may be provided with a copy of this Agreement upon request.





Volunteer Meal Exchange Policy

F.A.R.M. Cafe is a 501(c)(3) non-profit that builds a healthy and inclusive community by providing high quality & delicious meals produced from local sources when available, served in a restaurant where everybody eats, regardless of means.


In order to sustain the mission of F.A.R.M. Cafe, and because the restaurant operates almost exclusively on volunteer labor, we have established a Meal Exchange Policy that provides guidelines for meal exchange eligibility.


Volunteers include those who work

• in exchange for a meal (those of lesser means)

• for class credit (or other school related credit)

• for court/judiciary appointed community service

• to donate their time in order to “pay-it-forward”



Our meal exchange guidelines are as follows:


• Those who cannot pay are asked to volunteer at the restaurant for one hour in exchange for a meal.

• Those working for class credit or court/judiciary community service are NOT eligible for a shift meal. However, if you cannot make a monetary contribution for your meal, you may work an additional hour (which will not count toward your class credit or court/judiciary community service) in exchange for a meal.

• Those donating their time are eligible for a shift meal after having worked at least three consecutive hours. If you can afford to make a monetary contribution for your meal, we ask that you consider doing so. This helps us to continue providing meals to those volunteers and clientele who may not be able afford to pay for their meal.




Agreement statement

I understand and agree that submitting this application form does not automatically register me as a F.A.R.M. Cafe volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.


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