Name:
Email:
Phone (Day):
Phone (Evening):
Street Address:
City:
Province:
Postal Code:
Emergency Contact:
Phone:

Medical Concerns:

Please check activities you are interested In (check as many as appropriate):
Special Events (Food drives, activities at different locations in Ottawa, etc.)
Food Sorting
Driver's Assistant
Driving (indicate license classification: )
Administrative Duties

Availability (check all that apply):
Weekdays (Daytime)
Weekdays (Evening)
Weekends (Daytime)
Weekends (Evening)

How did you hear about volunteer opportunities at the Ottawa Food Bank?

Do you require credit for school hours?
Yes     No

If yes, specify your school board:

Additional Comments: