Cooking Matters Volunteer Application Date Date Format: MM slash DD slash YYYY Name First Last Primary Phone*Cell PhoneEmail* Preferred Method of Contact (Choose One)*Primary PhoneCell PhoneEmailText (SMS)EmployerHome Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address (If different than home address) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cooking Matters InterestsWhich part of the state would you volunteer for?*North Central Idaho (Lewiston Branch)Southwestern Idaho (Boise Warehouse Branch)Eastern Idaho (Pocatello Branch)South Central - Twin Falls AreaPlease choose a regionHow did you hear about Cooking Matters?Area(s) of special interest: Culinary Nutrition Teaching Working with low-income adults Other What other interests?Briefly describe any applicable professional training, education, and/or experience:List foreign languages that you speak fluently, if any:PreferencesType of position applying for: Teaching Class Assistant Class Shopper Laundry Assistant Office Assistant Other Teaching Roles (If Chosen) Chef Nutritionist Interpreter Other PositionCooking Matters offers a variety of curricula, each addressing the nutritional needs of various low-income groups. Choose below which group(s) you prefer to work with (you may choose more than one): Children (3rd to 5th Grade) Teens Teen Parents Children and Parents together Child Care Providers Adults Parents of Children in preschool Adults living with HIV Adults living with Diabetes AvailabilityMonday 9am-Noon Noon-3pm 3pm-5pm 5pm-9pm Tuesday 9am-Noon Noon-3pm 3pm-5pm 5pm-9pm Wednesday 9am-Noon Noon-3pm 3pm-5pm 5pm-9pm Thursday 9am-Noon Noon-3pm 3pm-5pm 5pm-9pm Friday 9am-Noon Noon-3pm 3pm-5pm 5pm-9pm Saturday 9am-Noon Noon-3pm 3pm-5pm 5pm-9pm Background CheckPlease be advised that certain courses require a background check on all personnel. Cooking Matters will notify you at the time that you are asked to volunteer if a background check is required.Have you ever been arrested or convicted of a felony?*YesNoIf yes, please explain below:An affirmative response will not automatically disqualify you from being considered.Two Personal ReferencesNameRelationshipAddress Phone Numbers NameRelationshipAddress Phone Numbers SignatureI certify that all statements made in this application are true, complete, and correct to the best of my knowledge and understand that any falsification or misrepresentation of facts will result in disqualification or dismissal.*Signature*DateNameThis field is for validation purposes and should be left unchanged.
