1. Individual Information

 
25% of survey complete.

Name:

Birthdate:

Address:

County:

City:

State:

Zip:

Email:

Phone:

In case of emergency, please contact:

Name:

(H) Phone:

(W) Phone:

(C) Phone:

Relationship:

Have you ever been charged for a felony/misdemeanor?

If yes, please explain.

Please provide information about your court appointed hours.

Reason for order:

County Court:

Docket/Case#:

Court Phone:

Total # of hours required:

I can start working on:

My hours are due on:

Position Descriptions
• Yard work, mowing, weed wacking, weeding and mulching
• Sweep docks, under dock plates and in shipping and receiving areas
• Sweep and mop white lines in the warehouse and coolers
• Dust rails and racks
• Clean restrooms
• Dump and wash trash cans and recycle bins in warehouse area
• Vacuum and wash trucks, vans and company cars
• Sort incoming salvage
• Help pick orders with Foodbank staff
• Restack inventory if needed on racks, in cooler or freezer
• Other assigned duties

T