Apply to Become a Volunteer – St. Vincent Meals on Wheels

Name*

First Last

Date of Birth*

MM

DD

YYYY

Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone*

Email*

Preferred Method of Communication*

Phone
Email

Occupation*

Position Applying For*

One-Time Volunteer
Short-Term Volunteer (3 months or less)
Long-Term Volunteer (6 months or more)
Unsure

Note: Most positions are 3-4 hours per shift (usually 9:30 am to 1:30 pm); some limited opportunities in the afternoon.

Are you volunteering for Corporation/Business Service Day?*

Yes
No

If yes, what Corporation/Business?*

Do you have community service hours you need to fulfill?*

Yes
No

If yes, number of hours?*

Please enter a number from 1 to 999.

Completion date?*

Hours are needed for:*

School
Religious or Service Group
Court Ordered (special requirements prior to being accepted)

Do you have a valid California Driver’s License?*

Yes
No

Has your driver’s license ever been suspended?*

Yes
No

Have you ever been convicted of a felony or misdemeanor?*

Yes
No

If yes, please explain:*

Why are you interested in volunteering at St. Vincent Meals on Wheels?*

How did you hear about the program?*

List any previous or current volunteer experience:*

Include: Organization, Position/Major Responsibility, Supervisor and Phone/Email

Special Skills or Qualifications*

Emergency Contact Information

Name of your emergency contact*

Relationship (ex: mother, father, etc.)*

Phone number of your emergency contact*

Preferences

Days you are available*

Select All
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Holidays

Volunteer Interests*

Select All
Driver
Runner
Kitchen
Office Staff
Events

Can you perform the tasks required to carry out the job for the areas of interest you have indicated without accommodation?*

Yes
No

If "No", please explain*

Preferred Start Date*

By checking this box below:*

I agree to the following:

I confirm that all information contained in this application is accurate.

I agree to keep all identifying and personal information about St. Vincent Meals on Wheels clients confidential.

As a volunteer for St. Vincent Meals on Wheels, I hereby release and hold harmless St. Vincent Meals on Wheels, the Board of Directors, and their officers, employees, and agents from all actions, damages, injury, or claims which I or my affiliates may have against them which may be incurred as result of my participation in the Volunteer Program.