VOLUNTEER PROFILE

Please complete and return to the Soup Kitchen

Name_________________________________________________________________________________

Address________________________________________________________________________________

Phone_________________________________________EMAIL_________________________________

Medicines/Allergies:____________________________________________________________________

EMERGENCY CONTACT

Name_________________________________________________________Phone_________________

INTERESTS AND AVAILABILITY

Food Prep & Set Up (9:30-12:00) M T W T F

Serving and Clean Up (11:30-2:00) M T W T F

Host (12:00-2:00) M T W T F

Willingness to be on the 'On Call List":     Yes      No
    Days you are Available: M T W T F

Available for Fund Raising Events:       Yes No

Mailings Yes       No

CONFIDENTIALITY STATEMENT

I understand that any and all client information received during the course of my volunteer activity with SKIP is privileged and strictly confidential.

I further understand that any violation of confidentiality will result in my immediate termination from SKIP’s volunteer program

Signed ______________________________