Year-End Partnership Meeting – Michigan Farmers Market Association

Name*

First Last

Email*

Phone*

Address*

Street Address City State ZIP Code

I am a member of the Michigan Farmers Market Association*

Yes
No
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

When is the best time to reach you?*

Daytime
Evening

If you are not already on our listserv, would you like to be?*

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No
Already subscribed

(This a good source for current volunteer oppurtunities)

Generally speaking, when are you available to volunteer? (check all that apply)*

Select All
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 Resume

1. 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 Policies

2. 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?*

3. Please list all names previously used. (i.e. maiden name, married name(s))*

4. Please specify your gender.*

Male
Female

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.