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River Runner Sign Up Form

Home / River Runner Sign Up Form

River Runner Sign Up

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Position Description
Delivering 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 and 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 license
Name*
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 circle times you would be able to pick-up from The River
- Tuesday
- Wednesday
- Thursday
- Friday
Tuesday Hourly Availability*
This field is to find out when you would want to pick up from the River. This way we can have your groceries ready and waiting in our River Runner loading dock.
- 11
- 12
- 1
- 2
Wednesday Hourly Availability*
This field is to find out when you would want to pick up from the River. This way we can have your groceries ready and waiting in our River Runner loading dock.
- 11
- 12
- 1
- 2
Thursday Hourly Availability*
This field is to find out when you would want to pick up from the River. This way we can have your groceries ready and waiting in our River Runner loading dock.
- 11
- 12
- 1
- 2
Friday Hourly Availability*
This field is to find out when you would want to pick up from the River. This way we can have your groceries ready and waiting in our River Runner loading dock.
- 11
- 12
- 1
- 2
Availability Details
Note 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
Languages
Please 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 with the same households
- 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 Number
Email*
Birthday
Date Format: MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Forms Feedback and Other comments
Space 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 Registration
Copy of Driver's License*
Please upload a copy of your drivers license for our files.
Copy of Driver's Car Insurance*
Please upload a copy of your car insurance for our files.
Copy of Driver's Abstract*
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.

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The River Food Pantry

The River Food Pantry
2201 Darwin Rd.
Madison, WI 53704

info@riverfoodpantry.org

The River Food Pantry is a 501(c)(3) nonprofit organization | EIN: 20-4179749 | This institution is an equal opportunity provider.

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