Volunteer Sign-in Sheet - Project Chicken Soup
Volunteer Sign-in Sheet Today’s Date: _____________
Birthday: _____________
Are you over 18? _____________
Name:
Address:
City: Zip:
Phone: home ( ) Cell ( ) Work ( )
E-Mail: Group or Organization:
Emergency Contact: Phone ( )
Occupation: Employer:
Kitchen Volunteer
[ ] Regular – (previous service)
[ ] First time
[ ] Would like to be contacted for future involvement
[ ] Community Service - School: Grade: Hours needed:
Delivery Volunteer
[ ] Have signed up to deliver by email or phone
[ ] Not signed up, but can deliver today (approximately 11:45-2:30)
[ ] Would like to deliver in the future
Today & Future - Rank your 1st, 2nd and 3rd choice, if applicable. Some areas may not be available at this time.
[ ] Hollywood [ ] West Hollywood
[ ] Silverlake [ ] Long Beach
[ ] South Los Angeles [ ] Santa Monica
[ ] Los Angeles – east of the kitchen [ ] Downtown
[ ] San Fernando Valley - west [ ] San Fernando Valley – east
Other Volunteer Opportunities
[ ] Shopping [ ] Phone/Office Support [ ] Speaker’s Bureau
[ ] Special Events [ ] Fundraising [ ] Truck or SUV available
[ ] Special skills or expertise you might have to contribute:________________________________
Kitchen Volunteers Initial_________ I have read and understand the Kitchen Rules & Regulations as they related to my volunteer service at Project Chicken Soup.
Delivery Volunteers Initial_________ I have read and understand the Delivery Rules & Regulations as they relate to my volunteer service at Project Chicken Soup. I further attest that I have a current California State-required basic liability insurance and a valid driver’s license.
I realize that I am making a serious commitment to volunteer a portion of my time and energies to assist Project Chicken Soup as a volunteer. I further agree to maintain complete confidentiality in respecting the privacy rights of all direct and indirect participants in any Project Chicken Soup activities.
I certify that all of the information I have provided is true and complete.
Signature_____________________________________________________ Date___________________
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