Nutrition Education Program

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Nutrition Education Application

Oregon Food Bank's Nutrition Education Program offers cooking classes to low-income community members to help them maximize their food resources. We provide hands-on cooking education, combining nutrition, menu planning, budgeting, and kitchen safety and sanitation. Armed with these new skills, participants begin to unravel the patterns of food insecurity.

A team of trained volunteers, consisting of a Chef Instructor, Lead Assistant, and Shopper, coach participants in lively cooking sessions. Participants work together to prepare and cook each week's menus, eat together, clean up, and participate in education messages.

Please complete this application form if you are interested in becoming a Nutrition Education volunteer. Once you complete the form, click the 'continue' button at the bottom.

Basic Information

First name:	*
Last name:	*
Title:
Street:	*
Street:
City:	*
State:	* Zip: *
Home phone:	* OK to call me here
Work phone:	* OK to call me here
Cell phone:	OK to call me here
E-mail:	*
Date of birth:	*
Age:
T-shirt size:

Volunteer Interest
Please select the volunteer job(s) of interest to you. Also, indicate the language(s) you speak and the type(s) of courses in which you are interested.

An box is provided for additional comments.

Language:

	Chinese		English		Russian
	Spanish		Vietnamese

NEP Course Type:

Cooking from the Garden

Operation Frontline (6 weeks)

Single Session Workshops

Nutrition Education:

	Chef Instructor		Class Ambassador		Cooking From The Garden
	Fire Squad		Lead Classroom Assistant		Shopper

Experience
Please describe your previous cooking/teaching experience. Please include the dates and nature of the work.

Background
Please explain why you are interested in working with the Nutrition Education Program and describe your experience working with people from a variety of economic, social and cultural backgrounds.

References
Please list two personal references that are not related to you.

	1		2
First name:	*	First name:	*
Last name:	*	Last name:	*
Home phone:	*	Home phone:	*
Cell phone:		Cell phone:

Criminal Background
Have you ever been convicted of or plead guilty to a crime? If yes, please explain.

Availability
Please indicate the days and times you are usually available to volunteer.

	Mon	Tue	Wed	Thu	Fri	Sat
From:
To:

My availability is:
From:
to:

Email Preferences
We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

What kinds of email would you like to receive?

	New volunteer opportunities
	Schedule updates
	Volunteer e-news
	Garden/Nutrition program news
	Upcoming Event News

I certify that this application is true and complete to the best of my knowledge. I authorize Oregon Food Bank to conduct a criminal background check. I understand that my participation in the Nutrition Education Progrem is voluntary and contingent on successful completion of the volunteer application and training process. Continued involvement will be contingent upon on-going evaluation, feedback, supervision and training.

I Agree

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Oregon Food Bank is an equal opportunity provider.

This material is based upon work supported by the Cooperative State Research,
Education and Extension Service, U.S. Department of Agriculture, under Agreement No. 2001-45052-01277.