Hungry Relief Kitchen meals served 11:45-12:30 Monday -Friday , Wednesday Night 5:30-6:30 | Homebound Delivery Call 860.276.8389

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Volunteer Application Forminfo@napcon-communications.com2026-01-22T15:04:13-05:00

Volunteer application form

Use the form below to file your volunteer application at Bread for Life.
Please note: At this time, we are not participating in volunteer opportunities to fulfill SNAP benefit requirements.

PERSONAL INFORMATION

Name(Required)

First Last

Please check one(Required)

I am above the age of 18

I am below the age of 18

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Emergency Contact Name:(Required)

Emergency Contact Phone Number:(Required)

How did you hear about our organization and volunteer opportunities?

VOLUNTEER INFORMATION

Please identify your areas of interest: (Check all that apply)(Required)

Drivers/Meal Delivery (Weekdays, 10:30-12:45) - A valid driver’s license is required.

Kitchen Assistance (Weekdays, 9-12:30)

Warehouse Assistance (Weekdays, 9:30-11:30AM or 1-3PM)

Special Events (Nights/Weekends)

Please provide your driver’s license number and issuing State

Issuing State

I am interested in volunteering: (Check one)(Required)

Personal

School Requirement

Club-Based Requirement

Court Ordered

Please note: At this time, we are not participating in volunteer opportunities to fulfill SNAP benefit requirements. Please stay tuned for future updates.

If court-ordered, are there any offense-related restrictions or conditions?

Please explain

If volunteer hours are required, how many hours do you hope to complete at Bread for Life?

If volunteer hours are required, what date does your service need to be completed?

MM slash DD slash YYYY

ADDITIONAL CONSIDERATIONS

Some volunteer positions may require standing, lifting, or other physical activity:(Required)

No Restrictions

Some Restrictions/Accommodations Needed

Please describe limitations or accommodations:

Some volunteer positions may require a background check:(Required)

I consent to a background check.

I do not consent to a background check

AGREEMENTS AND UNDERSTANDINGS

I understand that completion of this application does not guarantee a volunteer position. I will be contacted by a Bread for Life staff member if there is a need. I understand that volunteering at Southington Bread for Life is at-will and unpaid. I agree to follow all policies, procedures, and safety guidelines. I release the organization from liability to the extent permitted by law. By submitting this form I agree to Bread for Life privacy policy.(Required)

I agree to these terms listen above

Digital Signature (Type in your initials)(Required)

Verified by Google Captcha

Contact Us

Mailing Address:
PO Box 925, Southington, CT 06489
Phone:860.276.8389
office@breadforlife.us

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