Individual Volunteer Form

NOTICE: We do not schedule volunteers/shifts on Thanksgiving or Christmas Day. Please do not submit a form to volunteer for either holiday. We can always use a helping hand and schedule volunteers before and/or after the holidays.

  • Volunteerism

  • When are you available to volunteer? (Please mark all that apply)

  • In Case of Emergency Contact

  • -Long pants (no legs showing). -Sleeved shirt (T‐shirts are OK. (no tank‐tops).
    -Closed toed shoes (tennis shoes are ok, no sandals or high heels).
    -Aprons, hairnets and gloves will be provided. A baseball cap can be worn in place of our hairnets.
    Please do not bring any personal belongings (purses, backpacks, etc)
    We do not have a secure storage area and can not be responsible for lost/stolen items.
  • Out of respect and privacy for our guests, we do not permit any forms of video, photography, evangelization and/or interviews with our guests on our campus.

    COMMUNITY SERVICE PROGRAM If you need service hours tracked and signed for any reason (court, school, service clubs, etc.), you must register for our Community Service (CS) Program. Volunteer hours cannot be tracked and verified.
    PROCEDURES Follow all staff instructions, safety procedures, and tasks assigned. Inform staff immediately if you have any issues or concerns.
    YOUTH & CHAPERONE POLICY Volunteers under 18 years of age must have an adult chaperone. Chaperones MUST be actively supervising and volunteering alongside the minor(s) throughout the entire volunteer experience.
    One adult may chaperone up to 5 youth. • Volunteers must be a minimum of 16 years of age to volunteer in the kitchen area. Youth under the age of 16 are welcome to volunteer in our dining room. •

    Volunteers have the right to work in an environment free from harassment. Please inform a member of staff if any problems should arise.
  • My signature below acknowledges my understanding that I and/or my party, may be photographed or captured in video recordings during my volunteer experience. I hereby authorize St. Mary’s Dining Room to publish any photography/video taken of me/my party for use in St. Mary’s Dining Room’s publications or other media material produced including, but not limited to: brochures, television, websites, social media and/or other marketing materials. It is understood that my participation in any publication, websites, or other media produced by St. Mary’s Dining Room, and/or an entity acting with their permission, confers upon me no rights of compensation or ownership whatsoever.