Volunteer MIFMA Volunteer Application After completing this application, we will contact you with upcoming volunteer opportunities. Thank you! Name* First Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country I am a member of the Michigan Farmers Market Association* Yes Not yet I plan to join To learn more about membership options copy and paste the following link in to your web browser. mifma.org/membership/I would like to be contacted by...* Phone Email What is the best time to reach you? (check all that apply)* Daytime Evening If you are not already on our listserv, would you like to be?* Yes No Already subscribe (This a good source for current volunteer oppurtunities)Generally speaking, when are you available to volunteer? (check all that apply)* Weekday mornings Weekday afternoons Weekday evenings Weekend daytime Weekend evenings On my own time Are you interested in any particular volunteer opportunities or in certain program areas?Are you volunteering to fulfill a community service or service learning requirement? Yes No Are you interested in volunteering for an unpaid internship? Yes No What knowledge, skills, experience, and/or material resources do you have that may be valuable to MIFMA?Upload a Resume1. I have read the Michigan Farmers Market Association (MIFMA) Volunteer Policy and hereby acknowledge that I understand the volunteer policies of MIFMA.* Yes No Read the MIFMA Volunteer Policies2. I authorize MIFMA to obtain a criminal background check as described in the MIFMA Volunteer Policy.* Yes (if you select this option please proceed on to answer questions 3, 4, 5 and 6. No What is your date of birth?* MM DD YYYY 3. Please list all names previously used. (i.e. maiden name, married name(s))*4. Please specify your gender.* Female Male 5. Have you ever been convicted of a felony or criminal offense?* Yes (if yes, please use the box below to explain). No If you answered yes to question number 5 above, please use the box below to explain.6. Have you resided in a state other than Michigan within the last five years?* Yes (if yes please use the paragraph below to list which states you have lived in). No, I have only lived in Michigan If you answered yes to question number 6 above, please use the box below to list all other states you have lived in.