So, you're interested in volunteering for Fox Valley Food For Health?
Fox Valley Food For Health’s mission is to build a network of adult and teen volunteers committed to supporting people and families in need who are dealing with a serious illness by providing nutrient rich meals, nutrition education and personal caring support.
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What's your first name? *

What's your last name? *

What's the best phone number to reach you?

Is that your cell or home number?

Thanks for that, {{answer_34259150}}. What's your address?

{{answer_34259150}} what days are you available?

Helping in the kitchen sounds fun.  I have some free time Mondays &/or Tuesdays and would like to learn more.

Delivering Meals on Wednesday mornings to Fox Valley Food For Health clients sounds like it might be a good fit for me.

I have a clinical background and would be interested in being a Client Liaison.

I'd like to get involved in your Nutrition Classes.

I like to Garden.

I can help at Outreach or Fundraising Events.

I can help with Administrative Tasks or Bookkeeping.

I can help with Grant Writing.

Need help with Marketing/Communications?  Add me to that list.

I'm your shopper!  Call me for help picking up groceries.

I'd like to be on your Board of Directors.

I didn't see anything listed that I want to help with, but I was hoping I could do this for you instead...

Who should we contact in case of emergency?

First and last name, and phone number would be appreciated.
Do you have any previous volunteer experience, special skills, or qualifications you'd like us to know about?

How did you hear about Fox Valley Food for Health?

Adult Volunteer Contract *

-  I {{answer_34259150}} {{answer_35509250}} agree to familiarize myself with, and abide by the Food for Health job descriptions, policies and procedures.

-  I understand that all client information is Confidential and should not be shared with anyone outside Food for Health.

-  I understand the volunteer commitment at Food for Health is a minimum of 6 months.

-  I agree to all Food for Health to use my photo, likeness or words in media releases and other Food for Health publications, both printed and online.

-  I understand that I may be required to complete, pay for and provide a copy of my certificate for a valid Food Handlers or ServSafe Course.

-  I understand that I am required to complete, pay for and provide the results for a valid criminal background check done within the last 12 months.

-  If my duties include driving for Food for Health, I understand that I must maintain a valid Driver's License and Auto Liability Insurance.  In addition, I may be asked to provide copies of those items which may be subject to Department of Motor Vehicle driver's license background check.  

-  I agree not to accept personal payment for any services that I provide to our clients.

-  I agree to do my best to communicate with the coordinators and give at least 2 weeks notice if I will not be able to fulfill my obligations.

-  I understand that Food for Health is an evolving organization.  We are committed to a culture of openness, warmth and understanding as we nurture each other, our clients and the larger community.
Volunteer Agreement and Release from Liability *

1.  I {{answer_34259150}} {{answer_35509250}} agree to work for Food for Health as a volunteer.

2.  As a volunteer, I understand that I control the dates and times when I do the work and that Food for Health is not responsible for scheduling my volunteer work.  I also understand that I will not be compensated for any time spent volunteering, nor am I entitled to benefits, including employment insurance benefits upon the termination of this agreement or as a result of this service.  

3.  I am aware that participation as a volunteer may require periods of standing, lifting and carrying up to 40 pounds and will require the exercise of reasonable care to avoid injury, including asking for assistance if uncomfortable (or unstable).  I am voluntarily participating in this activity with knowledge of the hazards of potential dangers involved, and agree to accept any and all risks of personal injury and property damage.

4.  As consideration for volunteering for Food for Health, I hereby agree that I, and my assignees, heirs, guardians, and legal representatives, will not make a claim against or sue Food for Health or its employees, agents or contractors for injury or damage resulting from the negligence, whether active or passive, or other acts, however caused, by any of its officers, employees, agents, or contractors of Food for Heath as a result of my volunteering.  I HEREBY RELEASE AND DISCHARGE FOOD FOR HEALTH AND ITS DIRECTORS, OFFICERS, EMPLOYESS, AGENTS AND CONTRACTORS FROM ALL ACTIONS, CLAIMS, OR DEMANDS THAT I, MY HEIRS, GUARDIANS, AND LEGAL REPRESENTATIVES NOW HAVE, OR MAY HAVE IN THE FUTURE, FOR INJURY OR DAMAGE RESULTING FROM MY PARTICIPATION IN FOOD FOR HEATLH.

5.  I UNDERSAND THAT IF I AM INJURED IN THE COURSE OF WORKING FOR FOOD FOR HEALTH, I AM NOT COVERED BY FOOD FOR HEALTH WORKERS' COMPENSATION PROGRAM.  I authorize Food for Health to seek emergency medical treatment on my behalf in case of injury, accident or illness to me arising from my involvement as a volunteer.  I understand that I will be responsible for medical costs incurred by such accident, illness or injury.

6.  I understand that the materials and tools provided by Food for Health are and remain the property of Food for Health and I agree to return these tools and any remaining materials to Food for Health at the end of my volunteer service.

Food for Health Policy *

It is the policy of Food for Health to provide equal opportunities without regard to race, color, religion, sex, national origin, ancestry, age, order of protection status, marital status, physical or mental disability, military status, sexual orientation, pregnancy, or unfavorable discharge from military service or any other characteristics protected by law.
Thank you for completing our application {{answer_34259150}}.  You can learn more about us at  Or check us out on Facebook.

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