Volunteer Application

Thank you for your interest in volunteering at Byrd Barr Place's food bank!

Please complete this form to get started - it should only take about 5 minutes!

Your Information:

First name

Last Name

Date of Birth

Please use calendar to insure proper format, or type as MM/DD/YYYY

Mobile Phone

Email

Do you have any physical limitations, special skills or concerns?

NoYes

Please share your concerns.

Are you comfortable working with the public, or would you prefer to help behind the scenes?

I enjoy working with the publicI enjoy working behind the scenes

Would you be open to having your picture/likeness used in BBP Media content?

NoYes

Are you seeking a volunteer opportunity to complete court appointed community service?

YesNo

Emergency Contact(s) - 2 MAX

Their First Name

Their Last Name

Phone

Are you interested in being a volunteer delivery driver?

NoYes

Driver's Info:

Driver's License #

Proof of insurance

Volunteer Agreement

I ACKNOWLEDGE AND AGREE that I am not obligated to perform the volunteer services herein applied for and that BBPFB is not obligated to assign, or actively seek to assign me for placement.

Byrd Barr Place is committed to maintaining a drug and alcohol-free workplace, in accordance with the Drug-Free Workplace Act of 1988. All volunteers are prohibited from manufacturing, distributing, possessing, or using alcohol or any controlled substance at a Byrd Barr Place Facility. Possession or use of drugs or alcohol on the agencies premises, on or off the job, will result in dismissal

All Byrd Barr Place staff, Community Service Workers, AARP Employees, Volunteers and clients in the food bank will be treated with dignity and respect. Community Service workers, AARP Employees, or Volunteers who mistreat, insult, demean, threaten, or harm others or will be asked to leave the food bank immediately and will not be allowed to return.

Community Service workers, AARP Employees, and Volunteers must meet eligibility requirements to receive food. Volunteers are more than welcome to take one food bag home per week by going through the food bank line either before or after your volunteer shift.

Volunteers will be asked to leave if found to be taking more than one food bag per week or reserving food and non-food items. We take this very seriously and will be treated as theft of Byrd Barr Place property.

Community Service workers, AARP Employees, and Volunteers will follow food handling practices that promote food safety and general safety guidelines.

By checking this box, I am agreeing to abide to the terms and conditions of my volunteer service

I agree

Non-disclosure Agreement

This Nondisclosure Agreement (the “Agreement”) is entered into by and between Byrd Barr Place with its principal offices at 722 18th Avenue, Seattle, WA 98122, (“Disclosing Party“) and _______________, located at _______________ (“Receiving Party“) for the purpose of preventing the unauthorized disclosure of Confidential Information as defined below. The parties agree to enter into a confidential relationship with respect to the disclosure of certain proprietary and confidential information (“Confidential Information”).

1. Definition of Confidential Information. For purposes of this Agreement, “Confidential Information” shall include all information or material that has or could have commercial value or other utility in the business in which Disclosing Party is engaged. If Confidential Information is in written form, the Disclosing Party shall label or stamp the materials with the word “Confidential” or some similar warning. If Confidential Information is transmitted orally, the Disclosing Party shall promptly provide a writing indicating that such oral communication constituted Confidential Information.

2. Exclusions from Confidential Information. Receiving Party’s obligations under this Agreement do not extend to information that is: (a) publicly known at the time of disclosure or subsequently becomes publicly known through no fault of the Receiving Party; (b) discovered or created by the Receiving Party before disclosure by Disclosing Party; (c) learned by the Receiving Party through legitimate means other than from the Disclosing Party or Disclosing Party’s representatives; or (d) is disclosed by Receiving Party with Disclosing Party’s prior written approval.

3. Obligations of Receiving Party. Receiving Party shall hold and maintain the Confidential Information in strictest confidence for the sole and exclusive benefit of the Disclosing Party. Receiving Party shall carefully restrict access to Confidential Information to employees, contractors and third parties as is reasonably required and shall require those persons to sign nondisclosure restrictions at least as protective as those in this Agreement. Receiving Party shall not, without the prior written approval of Disclosing Party, use for Receiving Party’s own benefit, publish, copy, or otherwise disclose to others, or permit the use by others for their benefit or to the detriment of Disclosing Party, any Confidential Information. Receiving Party shall return to Disclosing Party any and all records, notes, and other written, printed, or tangible materials in its possession pertaining to Confidential Information immediately if Disclosing Party requests it in writing.

4. Time Periods. The nondisclosure provisions of this Agreement shall survive the termination of this Agreement and Receiving Party’s duty to hold Confidential Information in confidence shall remain in effect until the Confidential Information no longer qualifies as a trade secret or until Disclosing Party sends Receiving Party written notice releasing Receiving Party from this Agreement, whichever occurs first.

5. Relationships. Nothing contained in this Agreement shall be deemed to constitute either party a partner, joint venturer or employee of the other party for any purpose.

6. Severability. If a court finds any provision of this Agreement invalid or unenforceable, the remainder of this Agreement shall be interpreted so as to best to effect the intent of the parties.

7. Integration. This Agreement expresses the complete understanding of the parties with respect to the subject matter and supersedes all prior proposals, agreements, representations, and understandings. This Agreement may not be amended except in a writing signed by both parties.

8. Waiver. The failure to exercise any right provided in this Agreement shall not be a waiver of prior or subsequent rights.

9. Notice of Immunity [OPTIONAL]. Employee is provided notice that an individual shall not be held criminally or civilly liable under any federal or state trade secret law for the disclosure of a trade secret that is made (i) in confidence to a federal, state, or local government official, either directly or indirectly, or to an attorney; and (ii) solely for the purpose of reporting or investigating a suspected violation of law; or is made in a complaint or other document filed in a lawsuit or other proceeding, if such filing is made under seal. An individual who files a lawsuit for retaliation by an employer for reporting a suspected violation of law may disclose the trade secret to the attorney of the individual and use the trade secret information in the court proceeding, if the individual (i) files any document containing the trade secret under seal; and (ii) does not disclose the trade secret, except pursuant to court order.

This Agreement and each party’s obligations shall be binding on the representatives, assigns and successors of such party. Each party has signed this Agreement through the attestation below.

Full Name

Address Line 1

Address Line 2

City

State

Zip/Postal Code

Effective Date: