Student Community Service Sign Up Form

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Preferred Phone*
Email*
Birthdate*
MM slash DD slash YYYY
Emergency Contact*
First Last
Emergency Contact Phone*
Emergency Contact's Relationship to Applicant*
Enter the number of hours you need to complete*
Enter the date that your volunteer hours must be completed by*
MM slash DD slash YYYY
In 100 to 250 words please explain why you would like to complete your community service with Baltimore Hunger Project.*
What documentation will you need at the completion of your hours for verification?*
How did you hear about Baltimore Hunger Project?*
Do you have a car and a valid/temporary driver license?
- Yes I have both
- No I have a car but no driver’s license
- No I have a driver’s license but no car
- I do not have a car or a driver’s license

117 Old Padonia Road, Suite E
Cockeysville, MD 21030
Monday – Thursday 9 AM – 4:30 PM