Individual Volunteer Application

JANUARY 2021 NOTICE - DO NOT SUBMIT A VOLUNTEER FORM! Due to COVID-19, we are currently not offering volunteer opportunities until further notice. Thank you.

Community Service Program (Different Program) If you need to serve hours for court, school, etc. please contact Veronica or Georgie at (209) 467-0703 or volunteer@stmarysdiningroom.org *
Participants must first register (In-Person) at our Administration Office into Community Service Program. Do not submit a volunteer application!I DO NOT NEED TO SERVE COMMUNITY SERVICE HOURS FOR ANY REASON. I understand that volunteer hours are not tracked and CANNOT be signed off/verified by St. Mary's Dining Room.
For Medical/Dental Professional Volunteers At this time, we are not accepting student/interns in our Medical/Dental Clinic. For Medical/Dental Professionals interested in volunteering, please contact us at (209) 467-0703 or volunteer@stmarysdiningroom.org
Applications are to be submitted by Adults or Adult Chaperones only.
Are you volunteering as part of a group? *
If you have 3 or more volunteers, please submit a GROUP VOLUNTEER APPLICATION instead.This is not a group.
Are you 18 years of age or older? *
If you are a minor, do not submit an application.Yes, I am at least 18.No, my adult chaperone must submit this form on my behalf.
Are you submitting an application to chaperone minor(s) under the age of 18? *
Chaperones must be actively supervising alongside minor participant(s) at all times.
1 adult may chaperone up to 5 minors.Yes, I am a chaperoneNo, I am not a chaperone
If Yes, what are the age(s) of the minor(s) you will chaperone? Minors must be at least (16 & older) in order to participate in our current volunteer opportunities.
First Name *
Last Name *
Preferred Name: If different than first name.
Phone Number *
Email (Volunteer information will be sent via email!) *LOOK OUT FOR OUR EMAIL: Volunteer@stmarysdiningroom.org
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Employer (optional)
Occupation
City
What languages do you speak proficiently?

Volunteerism

We continue to serve 3 hot meals, 7 days a week! All of our meals are served in to-go containers. We have made significant changes to our services to promote safety and wellness with our community in mind. *
Due to COVID-19 we have limited opportunities at this time.KITCHEN: 16 yrs & older, minors require chaperonesFEMALE VOLUNTEERS ONLY WOMEN'S & CHILDREN'S HYGIENE CENTER:
(Monday - Friday Only) 7:30am - 3:00pm
LAUNDRY ROOM (Monday - Friday Only) 7:30am - 3:00pmFACILITIES MAINTENANCE: Mostly outdoor tasks (Monday - Friday) 8:00am - 4:00pm MALE VOLUNTEERS ONLY MEN'S HYGIENE CENTER (Monday - Friday) 7:30am - 12:00pm
Volunteer Department Description 1. Kitchen: Assist with meal prep, filling meal containers for service and general cleaning
2. Women and Children's Hygiene Center: Assist with organizing and distributing hygiene goods and clothing, After hours restocking shift: 1:00-3:00pm
3. Men's Hygiene Center: Assist with organizing and distributing hygiene goods and clothing. 4. Facilities Maintenance: Assist with campus grounds keeping (Mostly outdoors)
5. Laundry Room: Assist with sorting, folding/hanging clothing
Which days would you like to volunteer? *
On the Weekdays (Monday - Friday)On the Weekends (Saturday - Sunday) Only our Kitchen is open on weekends.Both Weekdays and Weekends

When are you available to volunteer? Below, is our modified volunteer shifts until further notice. (Please mark all that apply)

Sunday (Kitchen Only)
8:00 am ‐ 9:30 am11:15 am ‐ 1:00 pm4:00 pm ‐ 6:15 pm
Monday
08:00 am ‐ 9:30 am11:15 am ‐ 1:00 pm1:00 pm ‐ 3:00 pm4:00 pm ‐ 6:15 pm (Kitchen Only)
Tuesday
08:00 am ‐ 9:30 am11:15 am ‐ 1:00 pm1:00 pm ‐ 3:00 pm4:00 pm ‐ 6:15 pm (Kitchen Only)
Wednesday
08:00 am ‐ 9:30 am11:15 am ‐ 1:00 pm1:00 pm ‐ 3:00 pm4:00 pm ‐ 6:15 pm (Kitchen Only)
Thursday
08:00 am ‐ 9:30 am11:15 am ‐ 1:00 pm1:00 pm ‐ 3:00 pm4:00 pm ‐ 6:15 pm (Kitchen Only)
Friday
08:00 am ‐ 9:30 am11:15 am ‐ 1:00pm1:00 pm ‐ 3:00 pm4:00 pm ‐ 6:15 pm (Kitchen Only)
Saturday (Kitchen Only)
8:00 am ‐ 9:30 am11:15 am ‐ 1:00 pm4:00 pm ‐ 6:15 pm
What DATE or MONTH would you like to start volunteering? (Excluding Thanksgiving and Christmas Day) *We do not schedule volunteer opportunities on Thanksgiving or Christmas Day.

Emergency Contact

Name and Relationship *
Phone Number *
DRESS CODE AND PERSONAL BELONGINGS 1. Long pants (No legs, ankle or feet showing).
2. T-Shirt or Long Sleeve Shirt
3. Non Slip or Tennis Shoes (no sandals or high heels).
4. Aprons, hairnets and gloves will be provided.
5. 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 cannot be responsible for lost/stolen items.
VOLUNTEER GUIDELINES All staff and volunteers are required to wear masks and undergo a daily temperature screening process.

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.

PROCEDURES Follow all staff instructions, safety and hygiene procedures, and assigned tasks. Inform staff immediately if you are not comfortable with any task(s).
YOUTH & CHAPERONE POLICY Volunteers under 18 years of age (youth) must have an adult chaperone. 1 adult may chaperone up to 5 youth. • Must be at least 16 years of age to volunteer in the kitchen area. • Chaperones MUST be actively supervising and volunteering alongside the minor(s) throughout the entire volunteer experience.
DONATIONS Removing any donations including: food, clothing, property, etc. from St. Mary's without the permission from only SMDR Directors and/or our CEO, will result in termination. Volunteers do not receive any form of compensation for their service.
INFORM a staff member if any problems should arise.
Volunteers have the right to work in an environment free from harassment. This includes unwelcome verbal and/or physical conduct that degrades or shows hostility toward a staff member, another volunteer, or a guest.
PHOTO/MEDIA RELEASE 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.

I have read and understand the volunteer guidelines and expectations. If I do not comply, I understand I will be asked to leave.

First Name *
Last Name *
Today's Date *
Applications are valid 12 months from the submission date. Do not submit additional applications to schedule. Please allow up to 7 days for us to review; the Volunteer Manager will contact you via phone or email. We look forward to welcoming you!

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