Double Up Food Bucks Volunteer Application

All fields marked with * are required.

Contact Information

Interest and Experience

More About You

The questions in this section are for learning more about volunteers and matching them with the role that best fits their skills, abilities, and interests. It is not required to answer “yes” to any of the questions or to have any of the skills below. 

For more detailed information about the volunteer role, visit or contact the Iowa Healthiest State Initiative at

Agreement and Electronic Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

By typing my first and last name in the box below, I affirm that I am signing this Agreement electronically. I agree that my electronic signature is the legal equivalent of my manual signature on this Agreement.