Group Meal Volunteer Application Form

Please complete this application form if you are interested in providing meals for the families staying at St. Vincent de Paul Society of Lane County's FPFC / Annex. Once you complete the form, click the Complete Application button at the bottom.

For ongoing meal volunteering at FPFC / Annex we would love to get your group started as soon as possible.

Access your profile

Primary Contacts Email Address?

Your email address:

Your information

Required fields are marked with an asterisk (*).

Group Name: *

Group Mailing Address

Street:

Street 2:

City:

State:

Zip:

Primary Group Contact: *

Primary Contact Phone: *

For example, 123-456-7890

Is There a Secondary Contact?

Secondary Contact:

Secondary Contact Email:

Secondary Contact Phone:

Number of Volunteers in Group: *

Names of the Volunteers in your Group? (For meal preparation on site this field is required)

Are there Minors in the Group? *

When Can Your Group Start Volunteering?

A valid date as MM/DD/YYYY (for example: 11/30/2015)

What Date Range Can Your Group Volunteer?

How Would Like To Provide The Meal? *

What Meal Would Your Group Like To Help With?
Breakfast
Dinner

How did you hear about our volunteer opportunities?
SVdP Handouts (Flyers, Pamphlets, Mailings)
In-Store
Social Media
Word of Mouth
Browsing for Community Opportunities
Other

Please Explain:

Why Do You Want to Volunteer at St Vinnie's?

Are Physical Accommodations Required By Any Member of the Group?

Additional Notes:

Disclaimer

Statement of Release

I, the undersigned, hereby release St. Vincent de Paul Society of Lane County, Inc. (SVdP) from all liabilities in connection with any tasks performed by my volunteer group and give permission to include photographs in any of the agency's publications. I authorize SVdP to enter my name and contact information into their mailing list so that I can receive their publications.

I, the undersigned, acknowledge that all minors in my group will be supervised by a member of my staff or an adult member of my group. Further I, the undersigned, hereby release SVdP from all liabilities in connection with any tasks performed by minors within my group.

By signing the "digital signature" box below, I understand that a criminal background check may be obtained to verify the information I have provided on this application. I understand that in the event of an accident or injury while volunteering for SVdP, my health and vehicle insurance is primary.

Volunteers and prospective volunteers are expected to adhere to the same confidentiality standards as SVdP staff. Confidentiality includes disclosure of information about sexual orientation, religion, disability, race, color, age, creed, or personal history. Information regarding yourself, clients, staff, and other volunteers is not information that should be discussed with others within the agency or elsewhere.

I hereby authorize St. Vincent de Paul Society of Lane County, Inc. to verify all information contained in this application with any references to disclose any and all information to SVdP. I release all such persons from liability that may result or arise from the collection of all such evaluations or information or its consideration of my application.

Check here to show you accept the terms stated above for yourself or for a minor Volunteer for which you are the parental guardian.
Enter your name here to serve as a digital signature:

St. Vincent de Paul is Lane County’s largest nonprofit human services organization. Founded in 1953 and incorporated in 1955, the Agency helps more than 35,000 individuals and families each year with emergency and homeless services, and affordable housing. St. Vincent de Paul is committed to providing comprehensive programs to alleviate poverty and help all individuals find a path out of poverty and into self-sufficiency.