Colonial Heights Food Pantry Volunteer Form
530 Southpark Blvd., Colonial Heights, VA 23834 | 804-520-7117

Completing the following form is a prerequisite for volunteering at the pantry. Colonial Heights Food Pantry is committed to alleviating hunger and developing collaborative strategies to encourage self-reliance and preserve human dignity.

First Name

Last Name

Cell or primary phone #

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Do you have any special talents or skills that would benefit the food pantry?

Volunteer Limitations

Standing

Lifting

Walking

Other limitations:

Emergency Contact Information
To be completed by person to be notified in case of emergency if volunteer is under 18 years of age.

Contact Name

Phone

Relationship

Alternate Phone

At Colonial Heights Food Pantry we believe that everyone should have access to good and healthy food; everyone has the right to be treated with dignity and respect; when basic needs are met people are able to improve their circumstances; and we are all here to help others.

We ask that all volunteers treat this opportunity respectfully and serve the pantry in a way that honors our mission and our beliefs.

As a volunteer of our organization, we ask that you abide by the job descriptions discussed with you in advance by the Volunteer Engagement Coordinator. Please understand that you will be volunteering at your own risk and the organization, its employees and affiliates cannot assume any responsibility for any liability for any accident, injury, or health problem which may arise from any volunteer work you perform for the organization. All the work that you do for the organization is on a volunteer basis.

If employees request a photo of you while you are volunteering, please know that it may be used on our website or other organizational promotion materials.

By typing your name in the signature line below you are agreeing to abide by the requirements for volunteering with the Colonial Heights Food Pantry.

Please type your name here.

Thanks for submitting your request.

Colonial Heights Food Pantry Volunteer Form 530 Southpark Blvd., Colonial Heights, VA 23834 | 804-520-7117

Emergency Contact Information To be completed by person to be notified in case of emergency if volunteer is under 18 years of age.

Colonial Heights Food Pantry Volunteer Form
530 Southpark Blvd., Colonial Heights, VA 23834 | 804-520-7117

Emergency Contact Information
To be completed by person to be notified in case of emergency if volunteer is under 18 years of age.