Please complete this form if you are interested in becoming a Meals on Wheels Community Emergency Service volunteer.

All items with an asterisk (*) are required fields

APPLICANT INFORMATION


DEMOGRAPHIC INFORMATION

The following information is used only to help us get a better idea of the demographic make-up of our volunteers.


QUALIFICATIONS

In order to become a Meals on Wheels driver we need to capture some additional information.


AVAILABILITY

Meals are delivered Monday-Friday with pick up between 11-11:30.


EMERGENCY CONTACT

In the event of an emergency whom should we notify?


EMPLOYER

Please list your current or most recent employer as many provide dollars to non-profits for which their employees volunteer.


INTEREST IN CES

Please share with us how you learned about this volunteer role and if you are volunteering with a specific group, church or company.


I Agree

I understand and agree that submitting this application form does not automatically register me as a Community Emergency Service volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.
By submitting this form, I attest that the information I have provided on the form is true and accurate.