Distribution List Mobile Food Shelf Step 1 of 5 20% Do you live in an Apartment?* Yes No Apartment Complex Name:*Linderhoff ApartmentsEmerson UnionSunset ApartmentsBroadway HausHanska HausCity of LafayetteGarden Terrace 1001Garden Terrace 1021Colonial Inn Extended StaySorry, you do not qualify for the Mobile Food Shelf program.If you have any questions, please contact us at foodshelf@newulmtel.net Name:* First Last Phone*Email:* Address:* Street Address City ZIP / Postal Code Number of People Living in Home:* Note Any Diet Restrictions Here:*If you are in a wheelchair or use a walker indicate it here, someone from the Food Shelf will contact you about your delivery.* I am in a wheelchair I use a walker Neither You may pick more than one from each section. Amounts of food depends on household size. We may substitute if item is not available. Soups: Chicken Noodle Vegetable Tomato Cream of Mushroom Misc. Chili Raman Boxed/Canned Dinners: Macaroni & Cheese Helper Meal - Hamb Helper Meal - Tuna Beef Stew Ravioli Spaghetti O's Misc. Beans: Misc. Beans Baked Beans Pork and Beans Kidney Beans Black Beans Dried Beans Canned Meats: Tuna Chicken Salmon Spam Pork Misc. Condiments: Mustard Peanut Butter Jelly Syrup Ketchup Baking Items: Flour Brownie Mix Cake Mix Vegetable Oil Jell-O Pudding Pancake Mix Sauces: Pasta/Spaghetti Sauce Tomato Sauce Potatoes: Boxed Potatoes Canned Potatoes Instant Potatoes Vegetables: Mixed Vegetables Peas Corn Green Beans Carrots Misc. Beverages: Juice Misc. Shelf Stable Milk Fruits: Mixed Fruits Peaches Pears Dried Fruit Diced Tomatoes Applesauce Pineapple Misc. Misc: Bar Soap Paper Towels Dish Soap Toilet Paper Snacks: Chips Crackers Candy Misc. Nuts Cookies Pasta/Rice: Egg Noodles Elbow Pasta Spaghetti Noodles Rice Pasta/Rice Sides Cereal: Cold Cereal w/sugar Cold Cereal Hot Cereal Dairy: 1% Milk Butter/Margarine Eggs Block Cheese Shredded Cheese Sliced Cheese Yogurt Fruits (Fresh/Bagged): Pack (will vary) Vegetables (Fresh/Bagged): Pack (will vary) Deli (Fresh/Bagged): Pack (will vary) CAPTCHA Volunteer Application for Mobile Food Shelf Program Step 1 of 3 33% Name:* First Last Address:* Street Address City ZIP / Postal Code Home Phone:*Cell Phone:Birthday:* MM slash DD slash YYYY Email:* Emergency Contact:* Phone:* Availability:* Monday, AM Tuesday, AM Wednesday, AM Thursday, AM Friday, AM Monday, PM Tuesday, PM Wednesday, PM Thursday, PM Friday, PM Would you be available for a weekend or evening special event?* Yes No Please mark which type(s) of work you are interested in:* Packing Boxes Driver to pull trailer Setup distribution sites Distribution site assistant/delivery Special events/fundraisers Do you have any restrictions on movement?* Yes No Can you lift at least 25 pounds?* Yes No Why do you want to volunteer for the New Ulm Mobile Food Shelf?*I agree to abide by the policies of the New Ulm Mobile Food Shelf Program. I understand that my failure to do so may result in dismal from the Volunteer Program.* Yes No Release of Liability:* I acknowledge that I provide volunteer services to New Ulm Area Emergency Food Shelf, a Minnesota non-profit corporation located at 1305 South Valley Street, New Ulm, MN 56073, and further, I hereby waive and release the New Ulm Area Emergency Food Shelf, its officers, directors, and agents from any and all claims, liabilities, costs or damages incurred by, cause by, or as a result of my providing said volunteer services to the New Ulm Area Emergency Food Shelf at the aforementioned location or such other place used in the business of the New Ulm Area Emergency Food Shelf.Signature:* First Last Date:* MM slash DD slash YYYY IF VOLUNTEER IS UNDER AGE 18, PARENT OR GUARDIAN MUST SIGN: I understand that my child (named above) wishes to be considered for volunteer work and I hereby give my permission for him/her to serve in that capacity, if accepted by the agency. I understand that he/she will be provided with orientation and training necessary for the safe and responsible performance of his/her duties and that he/she will be expected to meet all the requirements of the position, including regular attendance and adherence to agency policies and procedures. I understand that the New Ulm Area Emergency Food Shelf is a volunteer-based non-profit organization. I hereby release the New Ulm Area Emergency Food Shelf, its leadership and members from any and all liability associated with the above-named child volunteering at the Food Shelf.Signature: First Last Date: MM slash DD slash YYYY CAPTCHA
