Meals on Wheels Volunteer Application

Thank you for your interest! Before you volunteer, we ask that you complete our volunteer application form.  After submitting this electronic form, our Volunteer Manager will contact you to talk more about your availability and schedule an orientation.

Name:
Address:
City:
State:
Zip Code:
Daytime Phone:
Cell Phone:
Race:
Sex:
Birthdate:
Email Address:
Driver's License #:

In case of emergency:

Name:
Phone:
Relationship

How did you find out about our program? Select One Church Bulletin TV Newspaper Friend

What is your church affiliation?

Do you have any special skills or services that you would be willing to donate to Meals on Wheels?

Volunteer Position:

Delivery Meal/Packaging Clerical/Office Mailings

Start Date:

Dates to work:

Route:

Organization/Company:

For Delivery Only Make of car: Do you have car insurance? Yes No

I have read and understand the job description(s) for which I will volunteer.

Initials: Date:

I understand that a background check may be required as a volunteer.

Initials: Date: