Individual Volunteer Application

Welcome Volunteers! We can use the help of volunteers in our kitchen, dining room, facilities and hygiene centers. Please be informed of the CDC & County's COVID-19 advisory. Please do not volunteer if you are ill or have symptoms of illness.

Community Service Program Information: Please contact Veronica or Georgie at (209) 467-0703. Do not submit a volunteer application. *
I DO NOT NEED TO SERVE COMMUNITY SERVICE HOURS FOR: SCHOOL, COURT OR OTHER REASON. I understand that volunteer hours are not tracked and will not be signed off / verified by St. Mary's. -If you need to serve community service hours, you must register into a different program: Community Service Program. (In-Person Registration Only)
For Medical/Dental Professional Volunteers (Different Application) 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 there are more than 3 volunteers in your party, please submit a GROUP APPLICATION instead.No, this is not a group
Are you 18 years of age or older? *
IF YOU ARE A MINOR, DO NOT SUBMIT A FORM.Yes, I am at least 18 years old.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 on our campus.
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?
First Name *
Last Name *
Preferred Name: If different than your first name.
Phone Number *
Email (Volunteer information will be sent via email) *PLEASE 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

At this time, we are accepting volunteers in either our Kitchen/Dining Room and/or Women's Hygiene Center. *
We continue to serve 3 hot meals, 7 days a week! We have made some significant changes to our services to promote safety and wellness.KITCHEN: 16 years & older with adult chaperones.DINING ROOM: All ages welcome with adult chaperones.FACILITIES MAINTENANCE - Mostly outdoor tasks (Monday - Friday) 8:00am - 4:00pmLAUNDRY ROOM (Monday - Friday Only) 7:30am - 3:00pmFEMALE VOLUNTEERS: WOMEN'S & CHILDREN'S HYGIENE CENTER: (Monday - Friday Only) 7:30am - 3:00pm
Volunteer Department Description 1. Women and Children's Hygiene Center: Assist with sorting, organizing and distributing hygiene goods and clothing to our guests. The after hours restocking shift is 12:30-3:00pm
2. Kitchen/Dining Room: Assist with meal prep, service and general cleanining.
3. Facilities Maintenance: Assist with campus grounds keeping.
4. Laundry Room: Assist with sorting, folding and hanging clothing.
Which days would you like to volunteer? *
On the Weekdays (Monday - Friday)On the Weekends (Saturday and Sunday) Only our Kitchen and Dining Room is open on weekends.Both Weekdays and WeekendsSaturdays OnlySundays Only

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

Sunday (Kitchen & Dining Room Only)
07:30 am ‐ 9:30 am11:15 am ‐ 1:15 pm4:00 pm ‐ 6:30 pm - Temporary time change
Monday
07:30 am ‐ 9:30 am11:15 am ‐ 1:15 pm1:00 pm ‐ 3:00 pm4:00 pm ‐ 6:30 pm (for Dinner Service Only) Temporary time change
Tuesday
07:30 am ‐ 9:30 am11:15 am ‐ 1:15 pm1:00 pm ‐ 3:00 pm4:00 pm ‐ 6:30 pm (for Dinner Service Only) Temporary time change
Wednesday
07:30 am ‐ 9:30 am11:15 am ‐ 1:15 pm1:00 pm ‐ 3:00 pm4:00 pm ‐ 6:30 pm (for Dinner Service Only) Temporary time change
Thursday
07:30 am ‐ 9:30 am11:15 am ‐ 1:15 pm1:00 pm ‐ 3:00 pm4:00 pm ‐ 6:30 pm (for Dinner Service Only) Temporary time change
Friday
07:30 am ‐ 9:30 am11:15 am ‐ 1:15pm1:00 pm ‐ 3:00 pm4:00 pm ‐ 6:30 pm (for Dinner Service Only) Temporary time change
Saturday (Kitchen & Dining Room Only)
07:30 am ‐ 9:30 am11:15 am ‐ 1:15 pm4:00 pm ‐ 6:30 pm - Temporary time change
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. We are seeking volunteer support before and after the actual holidays, as we serve 3 hot meals every standard day.

In Case of 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 St. Mary’s Dining Room strives to make the volunteer experience a positive one for all who generously donate their time to our agency’s mission. In our efforts to maintain this level of care it is important to have general safety guidelines for the well-being of all who volunteer.

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 Please 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. 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. • Chaperones MUST be actively supervising and volunteering alongside the minor(s) throughout the entire volunteer experience.
DONATIONS Do not remove and/or consume any property or donations from St. Mary's Dining Room without the permission from SMDR staff.
Please inform a member of staff 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. I understand that if I do not comply with these guidelines I will be asked to leave. *
YesNo
First Name *
Last Name *
Date *
This form is valid for the next 12 months. Do not submit an additional form to schedule. Please allow up to 7 days to review your application; the Volunteer Manager will contact you via phone or email. We look forward to welcoming you!

Verification

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