Group Volunteer Application

REQUIRED: Proof of Completed COVID-19 Vaccine is required for each volunteer (including minors). All volunteers must be approved and scheduled. Masks must be worn correctly at all times. GROUP MAX IS 5.

APPLICATIONS ARE TO BE COMPLETED BY THE ADULT GROUP LEADER
Can you and your group members provide proof of their completed COVID-19 Vaccine? (Required) *
YES, the participating volunteers (minors included) have completed their COVID-19 vaccine and will provide copy/photo proof.NO, not all members are vaccinated, we will wait for them to meet this requirement before scheduling.
UPLOAD GROUP LEADER'S COVID-19 VACCINE COPY *Clear photo, scan and digital copy are acceptable. We can receive the other group member's copies in the near future.
COVID-19 Vaccine copy for other group members (if you have copies now) We can receive the other group member's copies in the near future if you do not have on hand.
COVID-19 Vaccine copy for other group members (if you have copies now) We can receive the other group member's copies in the near future if you do not have on hand.
COVID-19 Vaccine copy for other group members (if you have copies now) We can receive the other group member's copies in the near future if you do not have on hand.
COVID-19 Vaccine copy for other group members (if you have copies now) We can receive the other group member's copies in the near future if you do not have on hand.
Community Service Program - CLOSED UNTIL FURTHER NOTICE *
MEMBERS IN MY GROUP DO NOT NEED TO SERVE COMMUNITY SERVICE, NO HOURS WILL BE TRACKED/SIGNED OFF BY ST. MARY'S.
Group or Family Name: *If a family, include "family" after name. ex Lincoln Family
Group Leader First and Last Name: *
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Preferred Phone Number *
Alternate Phone Number
Email (You will be contacted via email to schedule, confirm shifts!) *First confirm, first schedule basis. LOOK OUT FOR OUR EMAIL: VOLUNTEER@STMARYSDININGROOM.ORG
How many volunteers are in your group? Note: 5 volunteers max per shift. *Due to COVID-19, we are limiting the number of volunteers . We encourage larger groups to divide volunteers and schedule multiple shifts/dates.

POLICY: Volunteers under 18 must have an adult chaperones. Chaperones must be actively supervising alongside the minor(s) at all times. 1 adult may chaperone up to 5 minors.

Are all group members 18 years of age or older? *
Must be at least 16 years of age to participate in the kitchen. All ages welcome in the dining room.YES, all volunteers are at least 18 .NO, we have the correct number of chaperones.
If NO, what is the age range of youth volunteers?
How many minors will volunteer? *Volunteers under the age of 18.
How many adults will volunteer? *Required: At least 1 adult for every 5 minors.
Which days would you like to schedule? - We do not schedule volunteerism on Thanksgiving or Christmas Day *
On the Weekdays (Monday through Friday)On the Weekends (Saturday and Sunday)Both weekdays and weekendsSaturdays OnlySundays Only

Volunteer Opportunities (Please mark the opportunities you are interested in)

Department Description 1. Kitchen: Assist with meal preparation, filling meal containers, service and general cleaning. 2. Dining Room: Assist with scanning guests' ID cards, distributing meal boxes and general cleaning.
Kitchen (16 & older)
Chaperones required for volunteers under 18.Breakfast 8:00 am ‐ 9:30 amLunch 11:30 am ‐ 1:15 pmDinner 4:30 pm ‐ 6:15 pm
Dining Room (all ages)
For participation, we recommend volunteers who capable of carry a meal box.Breakfast 8:00 am ‐ 9:30 amLunch 11:30 am ‐ 1:15 pmDinner 4:30 pm ‐ 6:15 pm
Which DATE(S) or MONTH(S) would you like to volunteer? (Excluding Thanksgiving/Christmas Day) *Please provide multiple dates/shifts. Shifts may be filled.
Would you like to schedule ongoing volunteerism for the group? *
YES - To schedule future/ongoing shifts please phone/email the Volunteer Manager. Do not submit another application.NO - This is an annual, one-time volunteer event.
If YES, please provide further details:

Secondary or Emergency Contact

Name and Relationship *
Phone Number *
DRESS CODE AND PERSONAL BELONGINGS MASKS MUST BE WORN AT ALL TIMES. 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. ATTENTION Please leave personal belongings (Purses, Backpacks, etc) at home. We do not have a secure storage area and cannot be held responsible for any lost/stolen items.
VOLUNTEER GUIDELINES All staff and volunteers are required to wear masks covering the nose and mouth at all times while volunteering. 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. DRUG-FEE POLICY You cannot volunteer if you are under the influence and/or smell of drugs or alcohol. DONATIONS Removing any donations including: food, clothing, property, donations, etc. from St. Mary's without the permission from only St. Mary's Dining Room 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.
VOLUNTEER RELEASE & WAVIER OF LIABILITY This Release and Waiver of Liability (“Release”) by the volunteer(s) and the St. Mary’s Dining Room a nonprofit organization, located at 545 W. Sonora Street, Stockton, CA 95203. Volunteer understands that the scope of Volunteer’s relationship with Nonprofit Agency is limited to a volunteer position and that no compensations is expected in return for services provided by Volunteer; that Nonprofit will not provide any benefits traditionally associated with employment for Volunteer, and that Volunteer is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of Volunteer’s services to Nonprofit Agency. 1. Waiver and Release a. Volunteer releases and holds harmless Nonprofit Agency and each of its board members, officers, agents from any and all liability, claims and demands of whatever kind or nature, either in law or in equity, which arise, or may hereafter arise from the services Volunteer provides to Nonprofit Agency. b. Volunteer acknowledges that this Release discharges Nonprofit Agency and its board members, officers, agents from any liability or claim with respect to bodily injury, personal injury, illness, death, or property damage that may result from the services Volunteer provides. c. Volunteer releases and forever discharges Nonprofit Agency and its board members, officers, agents from any claim whatsoever which may arise or may hereafter arise on account of first-aid treatment or other medical services rendered in connection with an emergency during the time Volunteer is providing services to Nonprofit Agency. 2. Insurance a. Volunteer understands and acknowledges that Nonprofit Agency does not assume responsibility providing Volunteer with financial or other assistance, including, but not limited to, medical, health or disability, or general liability insurance of any nature in the event Volunteer incurs injury, illness or personal property damage. 3. Assumption of Risk a. Volunteer understands that the services provided by Volunteer to Nonprofit Agency may include activities that may be hazardous and inherently dangerous (including but not limited to, use of construction materials, electrical conduits, lifting of heavy materials, etc.). b. Volunteer expressly assumes the risk of injury or harm from these activities and releases Nonprofit Agency and its board members, officers and agents from all liability from harm incurred. 4. Photographic Release a. Volunteer grants and conveys to Nonprofit Agency all rights, title and interests in any and all photographs, images, video, or audio recordings of Volunteer made by Nonprofit Agency in connections with Volunteer services to Nonprofit Agency. 5. Governing Law a. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as is permitted by the laws of the State of California and that this Release shall be governed by and interpreted in accordance with California State laws. 6. Severability a. Volunteer and Nonprofit Agency agree that should any clause or provision of this Release be deemed invalid, the enforceability of the remaining provisions of the Release shall not be affected. By electronically signing this application, Volunteer expresses their understanding and intent to enter into this Release and Waiver of Liability willingly and voluntarily and promises to partner with Nonprofit Agency throughout the duration of the volunteering partnership in perpetuity.

I have read and understand the volunteer guidelines. I will share the guidelines with my group prior to service. If my group does not follow the guidelines, we will be asked to leave.

First Name *
Last Name *
Today's Date *
Applications are valid for the next 12 months. Do not submit an additional applications to schedule. Please allow up to 10 days for us to review. The Volunteer Manager will contact you via EMAIL to schedule. We look forward to welcoming you!
Questions/Comments

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