Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Currently employed?

Yes

No

Are you a high school student? *

Yes

No

Are you bilingual?

Yes

No

Would you be comfortable working on the computer (entering clients into our system and making appointments?

Yes

No

Goal and Mission *

Please acknowledge that you have read and understand the below: In all volunteer positions, we please ask that you are mindful of our clients cultural differences, language limitations and be sensitive to their individual needs, mentally, physically and emotionally. Our mission is to work together as a community to provide supplemental, nutritionally balanced food to those in need while respecting the dignity of each person we serve. Our goal is to create an atmosphere where all feel welcome, seen, heard and empowered to make their own decisions.

I accept

I do not accept

Non-Discrimination Policy *

Please acknowledge that you have read and understand the below: The Sloatsburg Food Pantry prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program.

I accept

I do not accept

Policy Against Sexual Harassment *

Please acknowledge that you have read and understand the below: Anyone who is employed by or volunteers for the Sloatsburg Food Pantry, and who sexually harasses another employee or volunteer of the Sloatsburg Food Pantry, does so in violation of the policy of the Sloatsburg Food Pantry, and is subject to discipline proportional to his or her offense. Procedures for Dealing with Allegations of Sexual Harassment If anyone believes that an employee or volunteer at the Sloatsburg Food Pantry is guilty of sexual harassment, we urge that person to bring the problem to the attention of someone who can help. An employee or volunteer should report such a problem to the Director of the Sloatsburg Food Pantry, or to a board member of the Sloatsburg Food Pantry. Whenever a possible incident of sexual harassment is brought to the attention of the Sloatsburg Food Pantry, regardless of how that occurs, the Sloatsburg Food Pantry will investigate what happened and take appropriate action to remedy the situation if it is warranted. The Sloatsburg Food Pantry will conduct any such investigation promptly. Complaints will be handled on a "need to know" basis. To the extent possible, only those persons conducting the inquiry will know the identities of the charging party and the accused. However, once a board member of the Sloatsburg Food Pantry learns of a possible incident of sexual harassment involving an employee or volunteer worker, we must investigate the report. We cannot honor a Complainant's request that we do nothing. If the investigation reveals that the complaint is true, the guilty party will be disciplined. Punishment for an employee or volunteer may range from a reprimand to mandatory counseling or sensitivity training to dismissal in appropriate cases. No person who reports incidents of sexual harassment in the workplace will be subject to any sort of retaliation by the person accused or by anyone else. Any retaliation against a complaining party by anyone will be grounds for immediate dismissal. The Sloatsburg Food Pantry recognizes that the question of whether a particular action or incident constitutes sexual harassment or is part of a purely personal, social relationship, must be resolved based on all the pertinent facts. The Sloatsburg Food Pantry also recognizes that false accusations of sexual harassment can have serious effects on innocent individuals. We trust that all our employees and volunteers will act responsibly to establish and maintain a pleasant working environment, free of discrimination.

I accept

I do not accept