Thank you for your interest in becoming a Coal Creek Meals on Wheels volunteer. Please complete this application form and click the "Continue" button at the bottom.


Please note: We are not accepting applications for court-ordered community service hours at this time.


Personal Information

Information with * is REQUIRED.



Volunteer Position Choices

Choose one or more positions you are interested in. If you check "Special Projects or Other Position", please fill in the details in the box below.




Ethnicity

This information is used for statistical purposes only; however, you may choose not to answer this question.



Other Languages

Are you conversationally fluent in another language besides English? If so, please indicate what language(s) in the space below.



How did you hear about us?

We would like to know how you found out about Coal Creek Meals on Wheels. This information helps us improve our volunteer outreach efforts, so please be specific. For example, if you were referred by a CCMOW volunteer, please tell us their name. If you learned about us through a church, please let us know which church.



Additional information or comments

If you have any additional information you would like to provide, or any general comments, please enter them here.



Disclosures

I understand that I must maintain a current drivers license and auto insurance if my volunteer position involves driving, and I agree to provide copies upon request. Finally, I understand that Coal Creek Meals on Wheels does not provide insurance coverage for volunteers. *