Applicant InformationName* First Middle Last Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Date Available Weekdays available Have you ever volunteered for IMACA?* Yes No if yes, when: Service AreaPlease select a location you would like to volunteer atInyo County Lone Pine Darwin Cartago Independence Big Pine Bishop Tecopa Death Valley Mono County Benton Mammoth Lakes June Lake Lee Vining Bridgeport Walker Coleville Topaz ProgramsPlease select the programs you are interested in volunteering with:* Food Assistance QuestionaireDo you have a valid CA Driver's License?* Yes No Do you have insurance under CA State Law?* Yes No Do you have any relatives working for IMACA?* Yes No Do you have any known medical issues you would like to make us aware of? Please list the name and phone number of an emergency contactName First Last PhoneConsent* I agree to the privacy policy https://www.imaca.net/volunteer-agreement-and-disclaimer/ Δ
