Welcome to the Food Bank of Central & Eastern North Carolina! Give the gift of the Food Bank this season - make your holiday honor donation today!

Individual Warehouse Volunteer Information Form

* Where would you like to volunteer?

* Contact Name:  

* Are you over the age of 18?

 Yes  No

* Address:  

* City, State Zip:  

* Home Phone:  

Work Phone: 

Cell Phone:  

* E-mail:  

Birthday:  

If volunteering as a family, please list additional
family members (specify relationship)

* Age Range of Group (Check all that apply):
5 - 11  12 - 18  18 and over

Are you affiliated with a (check all that apply):
Business  Place of Worship  School  Community Group

Do you have any physical restrictions or special needs?

In case of emergency, contact:

* Name:

* Relationship:

* Phone (include area code):

* Information is required.

Volunteer Consent Form



I understand that volunteerism at the Food Bank of Central & Eastern North Carolina may sometimes mean working in warehouse conditions and can sometimes include but is not limited to lifting, working around heavy moving equipment and handling damaged food products. I herby accept and assume full responsibility for any injury I might suffer while volunteering at the Food Bank of Central & Eastern North of Carolina. Volunteers are expected to follow safety rules and all other rules related to the warehouse. In the event of injury parents/guardians authorizes Food Bank staff to seek treatment for minor volunteers (volunteers under 18 years of age) and to take other action should a medical emergency arise and waive and release my right for damages.

Parental Permission: The Food Bank of Central & Eastern North Carolina will take all precautions to provide and maintain a safe environment for its volunteers. Volunteers are expected to follow safety rules and all other rules related to the warehouse. The Food Bank accepts no liability for minor volunteers who leave the Food Bank property without parental or guardian consent.

Auto Insurance: I shall not operate a personal vehicle for volunteer activities unless I have at least the minimum amount of liability insurance required by North Carolina law and have completed the Authorization for Driving Record Verification form.

Photo release: I hereby give the Food Bank of Central & Eastern North Carolina permission to copyright and/or use/reuse and/or publish/republish pictures or images of me for the purpose of illustration, advertising, and promoting the Food Bank of Central & Eastern North Carolina through any medium. The Food Bank of Central & Eastern North Carolina has the right to change or alter this material.

I acknowledge that by clicking the Submit button below I have read and understood the above consent form and that I am over the age of 18.