Volunteer Application - Food Allergy Institute

Thank you for your interest in becoming a volunteer at Food Allergy Institute. We look forward to your participation! Please fill out the following application.

Choose a Volunteer Program (select all the apply)

Clinical Internship

Events

Food Avengers Program

Fundraising

Mentorship

Research Internship

Patient Experience Focus Group

Please note parent volunteers must have a child(ren) currently enrolled in the program or in remission. Please indicate your program status.

Tolerance Induction Program Status

Name

First

Last

Address

City

State/Province

Zip/Postal

Country

Address

Phone

Email

Please select the age range that you are most comfortable mentoring:

0 - 2 years

3 - 5 years

6 - 9 years

10 - 13 years

14 -17 years

18 - 21 years

Please list your child(ren)’s allergens:

Food Avengers Program: What medium of posting would you like to use?

Would you like to additionally mentor parents whose children have other food restrictions?

Restrictions due to special dietary needs

Restrictions due to religious affiliation

Define special dietary needs you are able to mentor:

Are you open to assisting in planning and event awareness?

Yes

No

What city would you like to participate in?

Define religious affiliations you are able to mentor:

Volunteer Commitment – I understand, agree to and acknowledge that in volunteering at TPIRC/FAI, I am agreeing to follow the practices and procedures set forth by TPIRC/FAI and acknowledge that I will
be required to sign a Volunteer Agreement Form prior to beginning service.

Signature

Clear

Volunteer Recruitment Application