Name *

First Name

Last Name

Phone

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What areas are you interested in volunteering in?

Select all that apply:

U.ME.US Food Pantry (Sundays from 1pm - 4pm)

U.ME.US Garden & Greenhouse (dates and times vary)

If desiring to join a U.ME.US Food Pantry Sunday Team, which Sunday(s) would you like to be a part of?

Select all that apply:

2nd Sunday of each month

3rd Sunday of each month

4th Sunday of each month

Volunteer Confidentiality Agreement

As a volunteer at U.ME.US Food Pantry, you may encounter people from the community that you know or have access to records of the people receiving food assistance. It is the policy of this organization that all information about clients is strictly confidential and stays within the walls of the pantry. Also, any information or knowledge you may have about a client’s life or situation is not to be brought to the attention of other volunteers at the pantry. To protect the privacy and dignity of the people we serve, we ask that you acknowledge and affirm your intent to keep all information regarding clients confidential and that you will not share any information about clients outside of the pantry. - What I hear or observe about clients, staff or other volunteers while volunteering here will remain confidential. I agree to protect the privacy of client information I am given access to. I agree to keep this information in the strictest confidence and the failure to do so may result in my being denied the opportunity to volunteer. Upon reading of the above "Volunteer Confidentiality Agreement," PLEASE GIVE YOUR RESPONSE BELOW:

Yes, I do agree to adhere to the Volunteer Confidentiality Agreement.