Qualtrics Survey | Qualtrics Experience Management

Your Full Name

Your phone Number (enter all 10 digits without spaces, dashes, or parenthesis, i.e. 8186777862)

Your email address

Your class standing/ year in school

Your major

The program that most interests you in the Basic Needs Office:

Food Programs: CalFresh Healthy Living
Food Programs: CalFresh Outreach
Food Programs: CSUN Pop-Up Pantry
Food Programs: CSUN Food Pantry

Are you affiliated with any campus organizations or clubs?

Yes
No

Do you have any volunteer experience?

Yes
No

If you responded yes to the previous question, what organization did you volunteer with? Please include duration of service. If not type N/A.

What motivates your interest in CSUN Food Programs? Please speak to the reasons you are reaching out to seek volunteer experience with us. Include relevant details such as service learning or internship hour requirements being expected of you at this time.

Are you willing and able to move and transport items weighing more than 50 lbs.?

Yes
No

Please indicate your availability this semester. Wednesday availability between 9:30 AM - 6:00 PM (in 3-hour shifts) is REQUIRED to be considered for a Pop-Up Pantry role. Please only include hours you are available to volunteer during business hours: between 8:00 AM and 6:00 PM daily.

Monday

Tuesday

Wednesday

Thursday

Friday