Meals on Wheels Application Form

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.