XVolunteer Application Form

Please complete this interest form to become a Hollywood Farmers’ Market volunteer. Once you complete the form, click the submit button at the bottom.

Name and address

First name:
Last name:
Title:
Street 1:
Street 2:
Street 3:
City:
State:	Zip:
Home phone:	OK to call me here
Work phone:	OK to call me here
Email address:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

(year optional)

Gender:

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?

	Electronic newsletters
	Recruitment appeals

Volunteer Roles

Please check the types of volunteer roles you are interested in. You may choose as many as you like.

Assignment Preference:

	Break-Down
	Customer Pick-up
	Gleaning
	Greeting
	HFM Board
	Info Booth
	Marketing and Outreach
	Set-up
	Site Committee
	Writing and Editing