Individual Volunteer Form

The following information will be kept confidential and not shared outside of the Gallatin Valley Food Bank or HRDC District IX organizations. Please note that minors under the age of 16 must be accompanied by an adult.
Personal Information
Full Name*
First Last
Email Address*
Phone (1)*
Phone (2)
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth*
MM slash DD slash YYYY
Emergency Contact - Full Name*
First Last
Emergency Contact Phone (1)*
Emergency Contact Phone (2)
Please list any physical limitations, medical problems or allergies that may affect your work here:*
If you are volunteering with your family, please list their name and birthdates here:*
Background Information
Current or last work/occupation*
Education & Training*
Skills you would like to share*
Why are you interested in volunteering with the food bank?*
And/or what is your motivation for wanting to volunteer?*
Are you required to complete community service for school, or another program?*
- Yes
- No
Please indicate the class or program name and how many hours you need to volunteer:
If this is court or conduct system mandated community service, please exit this form and fill out the form on our community service page.
How did you hear about the food bank?*
Availability
Monday
Tuesday
Wednesday
Thursday
Friday
Statement of Confidentiality
As a volunteer with the Gallatin Valley Food Bank and the HRDC District IX, I agree to the following:

1. All notes, other written material on paper or on the computer will be kept in secure places and not left out for public view.

2. Discussion regarding specific clients will be held in offices, behind closed doors, or other places where privacy can be assured.

3. No privileged information about clients will be discussed with family, friends, outside co-workers, or anyone outside of the Gallatin Valley Food Bank or HRDC District XI organizations. Privileged information includes any and all family and personal information from the client database as well as the fact that any particular individual or family is, in fact, a client of the food bank.

4. For privileged information to be shared with other agencies or professionals, verbally or in writing, written authorization will first be obtained from the client. The only exception will be a request made by legitimate law enforcement officers and these will be handled on a case by case basis by the Director of the Gallatin Valley Food Bank.

5. Access to client data files is limited to the Gallatin Valley Food Bank staff and volunteers, staff at the HRDC District IX, and professional staff with other legitimate agencies in the community. Access to client data files by anyone must be approved by the Director of the Gallatin Valley Food Bank or in their absence, the supervisor of the food bank Director at the HRDC District IX.

6. No privileged information about confidential meetings will be discussed with family, friends, or outside co-workers.

7. No volunteer will interfere or discuss any employee’s personal or professional problems with family, friends, other volunteers, facility staff or outside co-workers. Violating the above Statement of Confidentiality will be cause to terminate a volunteer. I have read, understand, and agree to abide by this Statement of Confidentiality.
Do you authorize and consent to the Gallatin Valley Food Bank's use and reproduction of any and all photographs and any other audio or visuals taken of you for promotional materials, education activities, exhibits, or for any other use for the benefit of the organization?
- Yes
- No
I attest that the information I have provided is all true and accurate too the best of my ability and I hereby volunteer my services to the Gallatin Valley Food Bank.
Full Name*
First Last
Date*
MM slash DD slash YYYY

WISH LIST

Fresh produce
Masa harina
Granola bars
Diced green chiles
Shelf-stable milk
Microwavable meals (ramen, easy mac, etc.)
Pasta
Peanut butter, 16oz
Cereal
Rice
Pantry staples like flour, sugar, oil, and spices
Diapers, size 3 and up
Baby wipes
Baby formula
Toilet paper
Laundry detergent

Visit our How to Donate page for more details, including donation hours and location.

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Individual Volunteer Form

Personal Information

Background Information

Availability

Statement of Confidentiality

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