River Runner Sign Up Step 1 of 2 50% Position DescriptionDelivering groceries to households that are experiencing barriers, such as transportation or health concerns, to attending The River in person. The River Runners will pick-up groceries at The River between Tuesday-Friday hours of 10 am and 2 pm Tuesday, Thursday and Friday and Wednesday 1 pm and 5 pm. You will then deliver them to the front door of the household. We ask that Runners provide days of the week, time of day, and areas of Dane County they are available for deliveries. Qualifications- Reliable - Friendly - Able to lift up to 30 pounds - Access to a reliable vehicle - A clean driving record - Current car insurance - Valid driver’s licenseName* First Last Are you a new volunteer at the River Food Pantry? Yes No How did you hear about The River Food Pantry? Online/Google Social Media TV Radio Staff/Volunteer Word of Mouth Other If Other, how did you hear about us?Availability*Please check times you would be able to pick-up from The River. Tuesday, Thursday and Friday hours are 10-3 pm and Wednesday hours are 1-5 pm. Tuesday Wednesday Thursday Friday Availability DetailsNote section for describing restrictions you may have around delivering on certain days/times.To which parts of Dane County are you comfortable delivering?* Madison Waunakee Marshall Mt. Horeb Cross Plains Oregon Monona Fitchburg Verona Middleton Sun Prairie Cottage Grove Which regions of Madison are you comfortable delivering to?* Northside Westside Eastside Southside Downtown Physical ability*Occasionally, there will not be a convenient parking spot nearby. If needed, would you be comfortable carrying the groceries a short distance, possibly including steps? Yes No If steps are included, no LanguagesPlease list any other languages you speak beyond English. Spanish Hmong Arabic Mandarin French Other If Other, which language(s) do you speak?Would you prefer delivering for:* Select All Regular, Scheduled Deliveries Unscheduled, as-needed deliveries What size of vehicle do you have?*This helps us determine the capacity of your vehicle for delivering groceries to households. Small (mini couper) Medium (sedan) Large (truck/van) X-Large (Empty passenger van/large truck bed) Cell Phone Number*House Phone NumberEmail* Birthday MM slash DD slash YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Forms Feedback and Other commentsSpace for comments, clarifications within the form and general improvement feedback. Have a nice rest of your day and thank you for filling out this form!CAPTCHA Documents for Program RegistrationCopy of Driver's License*Please upload a copy of your drivers license for our files.Max. file size: 8 MB. Copy of Driver's Car Insurance*Please upload a copy of your car insurance for our files.Max. file size: 8 MB. Copy of Driver's Abstract*Max. file size: 8 MB. Please upload a copy of your driver's abstract. To be reimbursed, please bring your receipt to the River Food Pantry at 2201 Darwin Rd.Use of Personal Vehicle Policy Signature* Title of the document Recognition of Signature I have reviewed the above document and recognize this electronic signature as binding. Client Confidentiality Agreement Signature* Title of the document Recognition of Signature I have reviewed the above document and recognize this electronic signature as binding. Respectful Workplace Signature* Title of the document Recognition of Signature I have reviewed the above document and recognize this electronic signature as binding. COVID-19 Health and Safety Protocol Signature* Title of the document Recognition of Signature I have reviewed the above document and recognize this electronic signature as binding. Title of the document TEFAP Civil Rights PowerPoint Link PLEASE READ TEFAP Presentation Agreement Signature* Title of the document Recognition of Signature I have reviewed the above presentation link and this TEFAP document and recognize this electronic signature as binding. Δ
