Volunteer Application | Creston Valley Gleaners Society

First name

Last name

Address

Home Phone #

Cell Phone #

Email

Birthday Month Only

Emergency Contact

Emergency Contact Phone #

Reference Name

Reference Phone #

Are you retired?

Yes

No

Lifting Capacity ( Select One)

5 lbs

10 lbs

15 lbs

20 lbs

Have you Volunteered for Gleaners before?

Yes

No

If yes, when did you volunteer?

Please indicate the times you are available to volunteer.

Tuesday Noon to 4PM

Thursday Noon to 4PM

Friday Noon to 4PM

Please note that RCMP Criminal Record Checks are mandatory, upon a successful meet and greet.

FOOD BANK (250) 428-4107
GLEANERS OFFICE (250) 428-4166